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Individual
MRS. JENNIE CORINNE REBECCA BAUBLITZ BRENENBORG
Active
Individual
MRS. JENNIE CORINNE REBECCA BAUBLITZ BRENENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS-012356-L
PA
208VP0000X
Pain Medicine Physician
Primary
OS012356
PA
Other
Enumeration date
05/10/2006
Last updated
07/06/2016
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