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Individual
DR. JENNIFER G BAINE
Active
Individual
DR. JENNIFER G BAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A109073
CA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
A109073
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2008
Last updated
02/08/2021
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