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Individual
PERTRINA CASSANDRA FRUSTER
Active
Individual
PERTRINA CASSANDRA FRUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
232290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232290
LPN LICENSE
NY
Enumeration date
09/05/2018
Last updated
09/05/2018
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