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Individual
MS. CASIE M MAYNE
Active
Individual
MS. CASIE M MAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C,RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1821
KY
133V00000X
Registered Dietitian
954485
KY
363A00000X
Physician Assistant
Primary
PA2156
KY
363AM0700X
Medical Physician Assistant
PA2156
KY
363AS0400X
Surgical Physician Assistant
PA2156
KY
Other
Enumeration date
08/12/2014
Last updated
12/09/2020
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