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Individual
JOSEPH CHASE ROBILLARD
Active
Individual
JOSEPH CHASE ROBILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017617
CA
363LF0000X
Family Nurse Practitioner
4704282567NSA21088
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704282567NSA21088
DEPARTMENT LICENSING AND REGULATORY AFFAIRS
MI
01
—
F03210420
AANP FNP CERTIFICATION NUMBER
—
Enumeration date
06/15/2021
Last updated
09/25/2024
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