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Individual
KRISTEN DEAN
Active
Individual
KRISTEN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9115509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9115509
DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
03/22/2022
Last updated
03/22/2022
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