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Individual
DR. JACQUELINE MARLENE DAVID
Active
Individual
DR. JACQUELINE MARLENE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102202853
VA
207R00000X
Internal Medicine Physician
02005439
IN
207R00000X
Internal Medicine Physician
Primary
OS11008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103615500
—
FL
05
—
1527439
—
TN
05
—
1689975310
—
VA
Enumeration date
11/11/2010
Last updated
08/09/2023
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