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Individual
KRISTINE MACOMBER
Active
Individual
KRISTINE MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052014
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052014
LICENSE
CT
Enumeration date
06/16/2009
Last updated
05/28/2013
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