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Individual
MARIAH WHITNEY CASSUM
Active
Individual
MARIAH WHITNEY CASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09354
NC
363A00000X
Physician Assistant
P.A.0005308
CO
Other
Enumeration date
04/19/2018
Last updated
10/17/2024
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