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Individual
DR. KATHERINE N NANOS
Active
Individual
DR. KATHERINE N NANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
58132
MN
390200000X
Student in an Organized Health Care Education/Training Program
ASO552489388
NY
Other
Enumeration date
12/16/2012
Last updated
05/12/2016
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