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Individual
MISS JANEY RUTH SKELLEY
Active
Individual
MISS JANEY RUTH SKELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12356
MN
363A00000X
Physician Assistant
Primary
80310
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0664599
—
MT
Enumeration date
01/31/2017
Last updated
11/11/2021
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