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Individual
JESSICA CORINNE KOWALSKI
Active
Individual
JESSICA CORINNE KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055973
PA
363A00000X
Physician Assistant
Primary
PA09288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381621YT2M
MEDICARE PTAN
TX
Enumeration date
01/24/2013
Last updated
07/08/2015
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