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Individual
CYNTHIA ANN BRACE
Active
Individual
CYNTHIA ANN BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
414889
NY
163W00000X
Registered Nurse
RN635076
PA
363LA2200X
Adult Health Nurse Practitioner
301065-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012069
PA
Other
Enumeration date
10/04/2005
Last updated
04/23/2012
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