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Individual
CARY JASPER
Active
Individual
CARY JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.N.P., N.D.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
345
AK
363L00000X
Nurse Practitioner
Primary
AP60233048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069719
—
WA
05
—
NP1512
—
AK
Enumeration date
02/07/2007
Last updated
12/02/2024
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