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Individual
JOANNA LYN ROBERTS
Active
Individual
JOANNA LYN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, PTA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904080
—
AZ
Enumeration date
02/27/2007
Last updated
04/17/2018
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