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Individual

CELESTE MARIE CALLINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1516 VIRGINIA RANCH RD, SUITE 201, GARDNERVILLE, NV 89410-5794
(775) 783-3020
(775) 783-3021
Mailing address
1520 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5731
(775) 782-1500
(775) 782-1513

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1232
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1232
LICENSE NUMBER
NV
Enumeration date
10/18/2010
Last updated
01/21/2013
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