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Individual
CORRINE PALOTAS
Active
Individual
CORRINE PALOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016292
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103195614
—
PA
01
—
13839972
CAQH
—
Enumeration date
07/13/2016
Last updated
05/18/2022
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