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Individual
DR. JILL L RABASSA
Active
Individual
DR. JILL L RABASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-01270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129W0
—
NC
05
—
N01276
—
SC
Enumeration date
02/09/2006
Last updated
10/25/2020
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