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Individual
GLICIRIA JANKOWIAK
Active
Individual
GLICIRIA JANKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS017377
PA
208M00000X
Hospitalist Physician
Primary
OS017377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103039360
—
PA
01
—
13754098
CAQH
—
Enumeration date
04/05/2012
Last updated
09/12/2024
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