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Individual
CECELIA M NASSIF
Active
Individual
CECELIA M NASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C049851
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220723
—
IA
01
—
C049851
NURSE PRACTITIONER LICENS
IA
Enumeration date
09/19/2006
Last updated
07/08/2007
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