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Individual
JUSTINA CALDWELL
Active
Individual
JUSTINA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
816774
NY
164W00000X
Licensed Practical Nurse
Primary
317961
NY
Other
Enumeration date
05/02/2019
Last updated
04/10/2025
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