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Individual
KRISTIN RAE WATSON
Active
Individual
KRISTIN RAE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351043818
MI
207Q00000X
Family Medicine Physician
Primary
49579
IA
390200000X
Student in an Organized Health Care Education/Training Program
4301114939
MI
Other
Enumeration date
06/18/2018
Last updated
09/06/2022
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