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Individual
SANDRA KAY CALLAGHAN
Active
Individual
SANDRA KAY CALLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114912979
—
CA
Enumeration date
06/20/2011
Last updated
03/26/2015
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