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Individual
CHELSEA JO MANCUSO
Active
Individual
CHELSEA JO MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.1677295
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.1677295
DOD/COMMERCIAL
CO
Enumeration date
05/02/2022
Last updated
05/02/2022
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