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Individual
MAVIS SESAY
Active
Individual
MAVIS SESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018532
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103480940-0001
—
PA
Enumeration date
02/09/2018
Last updated
12/08/2022
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