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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1073993374 |
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| LBN Legal business name | AGAPE HEART TO HEART CONCIERGE SERVICE | ||||||||
| Authorized official | VICTOR STEWART - (NURSE PRACTITIONER/ OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/02/2015 | ||||||||
| Last updated | 06/02/2015 - About 11 years ago | ||||||||
| Identifiers |
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AGAPE HEART TO HEART CONCIERGE SERVICE