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Organization

THE DIVINE GUIDE L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAYLE SETSUKO KUTAKA PHD (ADVANCED PRACTICE REGISTER NURSE)
(808) 554-7489
Entity
Organization

Contact information

Practice address
47-108 HUI KELU PL, KANEOHE, HI 96744-4617
(808) 554-7489
Mailing address
47-108 HUI KELU PL, KANEOHE, HI 96744-4617
(808) 554-7489

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
APRN 430 RN 15975
HI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN 430, RN 15975
HI

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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