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Individual
TAYLOR JAY DELAMARTER
Active
Individual
TAYLOR JAY DELAMARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG182916
OR
208600000X
Surgery Physician
PG178008
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/17/2015
Last updated
07/21/2022
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