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Individual

MRS. VIVIAN LONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172A00000X
Driver
172V00000X
Community Health Worker
302F00000X
Exclusive Provider Organization
305R00000X
Preferred Provider Organization
Primary
305S00000X
Point of Service
347C00000X
Private Vehicle

Other

Enumeration date
12/06/2014
Last updated
12/06/2014
Update your record

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