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Individual
MRS. AMY B MACSPARRAN
Active
Individual
MRS. AMY B MACSPARRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002685
VA
363A00000X
Physician Assistant
Primary
1783
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558414946
—
WV
Enumeration date
01/19/2007
Last updated
09/05/2023
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