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Individual
MARTHA JURA
Active
Individual
MARTHA JURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY6264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY062640
MEDICAL
CA
Enumeration date
08/24/2006
Last updated
07/12/2013
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