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Individual
KELSEY MARIE JULIAN
Active
Individual
KELSEY MARIE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001232A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000719440
ANTHEM
IN
01
—
9793702
AETNA
IN
Enumeration date
01/03/2011
Last updated
11/01/2016
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