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Individual
JESSICA MARIE GENOBLE
Active
Individual
JESSICA MARIE GENOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
29410
SC
363LF0000X
Family Nurse Practitioner
Primary
95029641
CA
Other
Enumeration date
01/10/2024
Last updated
04/16/2025
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