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Individual
WENDY B. MAZURSKY
Active
Individual
WENDY B. MAZURSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19144
CA
363AS0400X
Surgical Physician Assistant
1953
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17638739
—
CO
Enumeration date
10/03/2006
Last updated
08/23/2013
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