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Individual
CASSANDRA ANNE SQUIRRELL
Active
Individual
CASSANDRA ANNE SQUIRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310256
NY
390200000X
Student in an Organized Health Care Education/Training Program
00000
NY
Other
Enumeration date
06/03/2021
Last updated
07/26/2021
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