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Individual
MS. CASSANDRA TATE
Active
Individual
MS. CASSANDRA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.193622
OH
163WC0200X
Critical Care Medicine Registered Nurse
RN.193622
OH
163WG0600X
Gerontology Registered Nurse
RN.193622
OH
163WM0705X
Medical-Surgical Registered Nurse
RN.193622
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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