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Individual
JABEZ BABU JOHN
Active
Individual
JABEZ BABU JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0146391
NM
207Q00000X
Family Medicine Physician
1629349576
AZ
207Q00000X
Family Medicine Physician
Primary
MD2021-0456
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629349576
NPI
—
Enumeration date
01/24/2012
Last updated
08/20/2021
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