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Individual
JODI N JETT
Active
Individual
JODI N JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C, MPAS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007716
NY
363A00000X
Physician Assistant
Primary
22580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
10/27/2006
Last updated
05/23/2014
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