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Individual

MS. BERNADETTE MICHELLE EVITT

Active
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Individual

MS. BERNADETTE MICHELLE EVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200167
LA
363A00000X
Physician Assistant
PA9102708
FL
363AM0700X
Medical Physician Assistant
Primary
PA200167
LA

Other

Enumeration date
06/10/2006
Last updated
04/12/2011
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