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Individual
ROBERT B DOAN
Active
Individual
ROBERT B DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003300
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10729
KAISER PERMANENTE
GA
Enumeration date
08/16/2005
Last updated
02/04/2008
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