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Individual
KRISTY DOTY
Active
Individual
KRISTY DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
684863
CA
363LF0000X
Family Nurse Practitioner
Primary
95001449
CA
Other
Enumeration date
05/03/2014
Last updated
10/25/2014
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