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1841219649
IDA M. EVANS
GALLIPOLIS, OH
NPI
1841219649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH 138767)
Enumeration Date
2006-07-19
Last Update Date
2007-08-31
Business Address
Ms. IDA M. EVANS CNP
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5890
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Mailing Address
Ms. IDA M. EVANS CNP
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5890
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