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Individual

SARA POIRIER CULLETON

Active
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Individual

SARA POIRIER CULLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01085063A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019312A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11019312A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/03/2017
Last updated
11/30/2021
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