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Individual
SULE SIZEMORE
Active
Individual
SULE SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110643
FL
363AM0700X
Medical Physician Assistant
0092921
NY
363AM0700X
Medical Physician Assistant
1483
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02457803
—
NY
Enumeration date
05/17/2006
Last updated
12/10/2024
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