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Individual

KRISTIE A IACUESSA

Active
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Individual

KRISTIE A IACUESSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AP1251, DL20000389
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060404
BLUE CROSS
ME
05
274460099
ME
01
3207069
AETNA
ME
Enumeration date
11/20/2006
Last updated
08/17/2010
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