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Individual
JILL R. GOULD
Active
Individual
JILL R. GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180633301 (MDACC)
—
TX
01
—
8N7222
BCBS (MDACC)
TX
01
—
P01054665
RR MEDICARE (MDACC)
TX
Enumeration date
10/12/2006
Last updated
10/19/2012
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