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Individual
GINA LEE BERKLEY
Active
Individual
GINA LEE BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704341531
MI
363L00000X
Nurse Practitioner
Primary
95030669
CA
363LP2300X
Primary Care Nurse Practitioner
4704341531
MI
Other
Enumeration date
06/07/2022
Last updated
03/06/2025
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