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Individual
JUANITA LOUISE MARTIN
Active
Individual
JUANITA LOUISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10007
CT
Other
Enumeration date
09/13/2021
Last updated
02/24/2026
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