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Individual
MARY KATHALEEN ELIZABETH PRITZ
Active
Individual
MARY KATHALEEN ELIZABETH PRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062454
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA062454
PENNSYLVANIA STATE BOARD OF MEDICINE LICENSE NUMBER
PA
Enumeration date
06/09/2021
Last updated
09/27/2021
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