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Individual
JOSEPHINE KALLAH
Active
Individual
JOSEPHINE KALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
031010
NY
363A00000X
Physician Assistant
Primary
25MP00817100
NJ
Other
Enumeration date
11/21/2023
Last updated
11/26/2023
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