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Individual
KATELYN MARGARET ANNA LONERGAN
Active
Individual
KATELYN MARGARET ANNA LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
363AS0400X
Surgical Physician Assistant
—
—
376K00000X
Nurse's Aide
112199
MA
Other
Enumeration date
06/08/2021
Last updated
11/09/2021
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