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Individual
CORNELIUS ISAAC VAN ROOSENDAAL
Active
Individual
CORNELIUS ISAAC VAN ROOSENDAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14267276-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
02/11/2026
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