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Individual

CHERYL DENISE REEDUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
063216
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
838108869A
GA
05
838108869B
GA
Enumeration date
06/16/2005
Last updated
09/09/2010
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