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Individual
MARILYN NOBLE
Active
Individual
MARILYN NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00772
TX
363AM0700X
Medical Physician Assistant
PA00772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100721060A
—
OK
01
—
120455100
FIRSTCARE COMMERCIAL
TX
05
—
120455101
—
TX
01
—
52487
PRESBYTERIAN COMMERCIAL
NM
05
—
52487
—
NM
01
—
86N729
BC/BS
TX
01
—
J002
TRIWEST
TX
05
—
S8805
—
NM
Enumeration date
10/18/2005
Last updated
08/28/2024
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