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Individual
JILL ALIX MARQUESS
Active
Individual
JILL ALIX MARQUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060001111
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN3032
—
VT
01
—
10907153
CAQH
—
01
—
59116
BCBS
VT
Enumeration date
08/09/2006
Last updated
07/08/2007
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