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Individual
JILL BAUGH
Active
Individual
JILL BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2000165351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000165351
LICENSE
MO
Enumeration date
12/29/2017
Last updated
12/29/2017
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