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Individual
KASIA NICOLE MANNIX
Active
Individual
KASIA NICOLE MANNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200641693RN
OR
363LF0000X
Family Nurse Practitioner
201503412NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
95008892
CA
Other
Enumeration date
02/08/2010
Last updated
01/31/2019
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