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Individual
JENNIFER NOEL BUTLER
Active
Individual
JENNIFER NOEL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT251940
BLUE SHIELD
CA
Enumeration date
12/07/2005
Last updated
10/15/2014
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