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Individual
JULIE J DUEIS
Active
Individual
JULIE J DUEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0540
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995843
WELLMARK BCBS PIN
SD
05
—
6825270
—
SD
05
—
6825272
—
SD
05
—
6825273
—
SD
Enumeration date
03/23/2006
Last updated
01/05/2011
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