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Individual
JEAN PASCAL PRADEL
Active
Individual
JEAN PASCAL PRADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023894300
—
FL
01
—
Y101E
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/12/2006
Last updated
11/25/2024
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