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Individual

KATHERINE SWEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005158RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144103
NCCPA
01
50.005158RX
PHYSICIAN ASSISTANT LICENSE
OH
Enumeration date
07/17/2017
Last updated
03/17/2018
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