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Individual
MS. JEAN T DONATI
Active
Individual
MS. JEAN T DONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00953
MD
363A00000X
Physician Assistant
C01451
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8430012-00
MEDICAL ASSISTANCE PROGRAM
MD
Enumeration date
12/12/2006
Last updated
07/02/2021
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