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Individual

JOSHTIN DALE ORDONA SULSE

Active
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Individual

JOSHTIN DALE ORDONA SULSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
777310
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
312074
NY

Other

Enumeration date
07/07/2025
Last updated
08/22/2025
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