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Individual
SASHA GRAHAM
Active
Individual
SASHA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12527
NURSE PRACTITIONER
CA
01
—
571396
REGISTERED NURSE
CA
Enumeration date
09/21/2006
Last updated
07/08/2007
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