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Individual
JEREMY MIGNER
Active
Individual
JEREMY MIGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO005502
NC
224P00000X
Prosthetist
Primary
CPO03757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285720482
—
NC
Enumeration date
04/21/2015
Last updated
04/29/2016
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