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Individual
JOSEPH PLOURDE
Active
Individual
JOSEPH PLOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5904
MA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/12/2016
Last updated
11/21/2016
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