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Individual
JAMI ALYSSA RUBIN PAVLAK
Active
Individual
JAMI ALYSSA RUBIN PAVLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4704294965
MI
363LP0200X
Pediatric Nurse Practitioner
SP018828
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025348
PA
Other
Enumeration date
01/29/2013
Last updated
02/10/2022
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