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Individual
MS. MAUREEN L O'BRIEN
Active
Individual
MS. MAUREEN L O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0002505
MD
363AS0400X
Surgical Physician Assistant
Primary
C02505
MD
Other
Enumeration date
09/13/2005
Last updated
01/15/2013
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