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Individual
ALEXANDRA LEE GENTRY
Active
Individual
ALEXANDRA LEE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8668
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110183923A
—
MA
Enumeration date
12/17/2021
Last updated
06/08/2026
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