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Individual
MISS JENNIFER CAREN MAIS
Active
Individual
MISS JENNIFER CAREN MAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013101-1
NY
Other
Enumeration date
02/12/2009
Last updated
09/05/2012
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