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Individual
PEGGY JO ROBINSON
Active
Individual
PEGGY JO ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101578
MEDICAL LICENSE
NC
Enumeration date
12/08/2006
Last updated
07/09/2007
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