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Individual
MR. JEFFREY ALLEN LEVINE
Active
Individual
MR. JEFFREY ALLEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO 4379
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 4379
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS
MN
Enumeration date
11/25/2008
Last updated
11/25/2008
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