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Individual
FRANNIE ANN PROFFITT
Active
Individual
FRANNIE ANN PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1213
ID
363A00000X
Physician Assistant
PA159954
OR
Other
Enumeration date
10/15/2012
Last updated
08/14/2019
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