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Organization
THE DIVINE GUIDE L.L.C.
Active
Organization
THE DIVINE GUIDE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLE SETSUKO KUTAKA PHD (ADVANCED PRACTICE REGISTER NURSE)
(808) 554-7489
Entity
Organization
Contact information
Practice address
47-108 HUI KELU PL, KANEOHE, HI 96744-4617
(808) 554-7489
Mailing address
47-108 HUI KELU PL, KANEOHE, HI 96744-4617
(808) 554-7489
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
APRN 430 RN 15975
HI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN 430, RN 15975
HI
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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