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Individual
ALEXANDRA BETH ENSIGN
Active
Individual
ALEXANDRA BETH ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
117493
IA
363A00000X
Physician Assistant
Primary
2874
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
09/05/2022
Last updated
12/12/2024
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