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Individual
THOMAS JOHN BETJEMAN
Active
Individual
THOMAS JOHN BETJEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A150085
CA
207Q00000X
Family Medicine Physician
Primary
MD2017-0422
NM
Other
Enumeration date
04/14/2014
Last updated
10/13/2017
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