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Individual
KRISTINIA MACIUNAS
Active
Individual
KRISTINIA MACIUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14514
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045551000
—
WV
Enumeration date
06/02/2005
Last updated
04/17/2015
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