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Individual
JERMAINE J STUBBLEFIELD
Active
Individual
JERMAINE J STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA20823
CA
363AM0700X
Medical Physician Assistant
PA20823
CA
Other
Enumeration date
04/13/2010
Last updated
02/11/2011
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