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Individual
JILLIAN MARVILLE
Active
Individual
JILLIAN MARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004039-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935828
—
NY
Enumeration date
03/04/2006
Last updated
02/09/2016
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