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Individual
MOLLY C DEFRAIN
Active
Individual
MOLLY C DEFRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS018835
PA
208M00000X
Hospitalist Physician
Primary
OS018835
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT016418
PA
Other
Enumeration date
06/13/2015
Last updated
11/05/2024
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