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Individual
JACQUELYN D CALVIN
Active
Individual
JACQUELYN D CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60387425
WA
363L00000X
Nurse Practitioner
Primary
AP6120541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202054
—
WA
Enumeration date
12/11/2019
Last updated
02/24/2022
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