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Individual
JENNIFER LAURA LABRUM
Active
Individual
JENNIFER LAURA LABRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22350
CA
363AS0400X
Surgical Physician Assistant
22350
CA
Other
Enumeration date
10/01/2009
Last updated
12/24/2025
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