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Individual
JAIMIE PAYNE ANDERSON
Active
Individual
JAIMIE PAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110446000
—
FL
01
—
Y911W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/09/2019
Last updated
06/14/2021
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