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Individual
JENNIFER ANN YUENGST
Active
Individual
JENNIFER ANN YUENGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03753582
—
NY
Enumeration date
08/30/2013
Last updated
10/19/2020
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