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Individual
JAMIE ROSE MABREY
Active
Individual
JAMIE ROSE MABREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.024351
IL
363LG0600X
Gerontology Nurse Practitioner
209.024351
IL
363LP2300X
Primary Care Nurse Practitioner
209.024351
IL
Other
Enumeration date
11/22/2021
Last updated
05/24/2022
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