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Individual
MRS. MARY HITCHCOCK PLAISANCE
Active
Individual
MRS. MARY HITCHCOCK PLAISANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08224264
—
MS
05
—
2164082
—
LA
Enumeration date
08/04/2010
Last updated
06/18/2015
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