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Individual
JENNIFER BO LING YU-DATTA
Active
Individual
JENNIFER BO LING YU-DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13431
GA
207Q00000X
Family Medicine Physician
Primary
99990
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/25/2021
Last updated
07/18/2025
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