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Individual
JAMIE M REDIC
Active
Individual
JAMIE M REDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-140930-092
KS
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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