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Individual
JENNEFER CARL SUTTON
Active
Individual
JENNEFER CARL SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341526701
—
TX
05
—
341526702
—
TX
01
—
341526703
CSHCN
TX
Enumeration date
11/02/2005
Last updated
12/05/2024
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