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Individual
DR. JERRILYN M JUTTON
Active
Individual
DR. JERRILYN M JUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D38829
MD
208600000X
Surgery Physician
D38829
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
224963
KAISER
—
01
—
354900
MAMSI
—
01
—
3962433
BCBS
—
01
—
42543903
BCBS
—
01
—
5484285
AETNA PPO
—
01
—
609963600
FEDERAL WORKMAN'S COMP
—
Enumeration date
08/11/2005
Last updated
01/29/2016
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