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Individual
JISOO JANG
Active
Individual
JISOO JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0110011070
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/07/2025
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