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Individual
MEGAN RAE IRLAND
Active
Individual
MEGAN RAE IRLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015372
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997217
—
NY
05
—
04157233
—
MS
05
—
2193678
—
LA
Enumeration date
01/23/2012
Last updated
03/29/2023
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