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Individual
CASEY ALLEN DARMAWAN
Active
Individual
CASEY ALLEN DARMAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
363A00000X
Physician Assistant
PA68231
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
07/14/2026
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