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Individual
KRYSTINE ASHLEE CETHOUTE
Active
Individual
KRYSTINE ASHLEE CETHOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016552
CA
363LF0000X
Family Nurse Practitioner
1015154
TX
Other
Enumeration date
11/20/2020
Last updated
06/21/2024
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