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Individual
MICHAEL JASON DEAN
Active
Individual
MICHAEL JASON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2000167996
MO
363L00000X
Nurse Practitioner
53-74934-022
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
2000167996
MO
Other
Enumeration date
03/10/2006
Last updated
11/19/2014
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