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Individual
MRS. JUSTINE F. CORWIN
Active
Individual
MRS. JUSTINE F. CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R190822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184922346
—
DE
05
—
335524100
—
MD
01
—
973265-01
CAREFIRST BC/BS
MD
01
—
S062-0420
BC/BS REGIONAL
MD
Enumeration date
03/11/2011
Last updated
03/04/2013
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