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Individual

EVA J CORBETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1072342
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y047W
BLUE CROSS/BLUE SHIELD OF FLORIDA
FL
Enumeration date
02/10/2011
Last updated
02/10/2011
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