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Individual
MR. CARLTON CAIN
Active
Individual
MR. CARLTON CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704304695
MI
Other
Enumeration date
11/03/2018
Last updated
01/25/2023
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