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Individual
JASON D REDWINE
Active
Individual
JASON D REDWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7718
AZ
363L00000X
Nurse Practitioner
CNP-02934
NM
363LF0000X
Family Nurse Practitioner
Primary
AP136499
TX
Other
Enumeration date
07/10/2007
Last updated
10/03/2025
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