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Individual
JOLYNN MONTGOMERY
Active
Individual
JOLYNN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1010
AK
363A00000X
Physician Assistant
Primary
1075
ID
363A00000X
Physician Assistant
60593479
WA
363A00000X
Physician Assistant
673
HI
Other
Enumeration date
01/12/2012
Last updated
12/12/2023
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