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Individual
ALICIA PATE
Active
Individual
ALICIA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085002324
IL
363AM0700X
Medical Physician Assistant
10001351A
IN
363AS0400X
Surgical Physician Assistant
08502324
IL
363AS0400X
Surgical Physician Assistant
Primary
10001351A
IN
Other
Enumeration date
06/30/2005
Last updated
12/02/2014
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