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Individual
KATI L COUSINS
Active
Individual
KATI L COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95029679
CA
363LA2200X
Adult Health Nurse Practitioner
209.019097
IL
363LA2200X
Adult Health Nurse Practitioner
95029679
CA
Other
Enumeration date
04/13/2019
Last updated
12/30/2025
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