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Individual
VIRGINIA ELLEN CEYNAR
Active
Individual
VIRGINIA ELLEN CEYNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0281
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108827102
—
WY
01
—
24633
BLUE CROSS/BLUE SHIELD
ND
05
—
4304366
—
MT
01
—
77063749858854A005
TRICARE
—
05
—
8361552
—
WA
05
—
943987
—
AZ
01
—
NA4371043533
PREFERRED ONE
—
Enumeration date
07/25/2006
Last updated
12/13/2007
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