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Individual

KRISTIN LEE CASTINE

Active
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Individual

KRISTIN LEE CASTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704138680
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144224064
MI
Enumeration date
06/09/2005
Last updated
06/26/2023
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