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Individual
MRS. JEAN ELIZABETH PREVAS
Active
Individual
MRS. JEAN ELIZABETH PREVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001683
MD
Other
Enumeration date
11/08/2005
Last updated
01/20/2010
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