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Individual
JUSTIN JESTER
Active
Individual
JUSTIN JESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07737
TX
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318098601
—
TX
Enumeration date
01/10/2012
Last updated
02/28/2014
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