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Individual
MS. SUZANNE JUBB
Active
Individual
MS. SUZANNE JUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010226
MI
363AM0700X
Medical Physician Assistant
5601010226
MI
363AS0400X
Surgical Physician Assistant
5601010226
MI
Other
Enumeration date
03/01/2021
Last updated
01/12/2023
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