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Individual
MARY JAZAYERI
Active
Individual
MARY JAZAYERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
223793
LA
363L00000X
Nurse Practitioner
2198
WI
363L00000X
Nurse Practitioner
AP03263
LA
367A00000X
Advanced Practice Midwife
Primary
223793
LA
Other
Enumeration date
12/19/2005
Last updated
06/28/2022
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