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Individual
JAMIE LYNN KNUTH PRATHER
Active
Individual
JAMIE LYNN KNUTH PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME116201
FL
2086S0127X
Trauma Surgery Physician
Primary
65623
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015136800
—
FL
01
—
151KP
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/26/2008
Last updated
07/25/2016
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