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Individual
NANCY MAE KLEIN
Active
Individual
NANCY MAE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA059263
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00707000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598284093
—
PA
Enumeration date
09/15/2017
Last updated
11/03/2022
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