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Individual
SARAH GRACE PURDY
Active
Individual
SARAH GRACE PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005951
IL
363A00000X
Physician Assistant
0110003353
VA
363A00000X
Physician Assistant
9112077
FL
363A00000X
Physician Assistant
Primary
PA21731
CA
Other
Enumeration date
07/27/2010
Last updated
07/10/2019
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