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Individual
JULIE LYNN SWANSON
Active
Individual
JULIE LYNN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10701
NV
207Q00000X
Family Medicine Physician
Primary
12489
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457655482
SMA MEDICAID
NV
01
—
V111463
SMA MEDICARE
NV
Enumeration date
01/05/2011
Last updated
09/15/2015
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