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Individual
ANDREW FRASER
Active
Individual
ANDREW FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
Primary
PA184554
OR
Other
Enumeration date
06/01/2016
Last updated
11/11/2021
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