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Individual
MISS JASITY RUSH
Active
Individual
MISS JASITY RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S2
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110011010
VA
363A00000X
Physician Assistant
Primary
C0008654
MD
Other
Enumeration date
06/12/2022
Last updated
08/05/2025
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