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Individual

JONATHAN CHARLES LEVIN

Active
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Individual

JONATHAN CHARLES LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
02006642A
IN
171000000X
Military Health Care Provider
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
114717
GA

Other

Enumeration date
06/18/2017
Last updated
09/08/2026
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