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Individual
MOHAMMED JAFFAR
Active
Individual
MOHAMMED JAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
623024
PA
163W00000X
Registered Nurse
629747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329114
—
NY
05
—
1025640160001
—
PA
Enumeration date
12/21/2010
Last updated
09/22/2011
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