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Individual
KATIE CYR MANUEL
Active
Individual
KATIE CYR MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
1-164582
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-164582
AL
Other
Enumeration date
02/22/2022
Last updated
01/18/2024
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