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Individual
JANE LOUISE ROBERTSON
Active
Individual
JANE LOUISE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1042
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041429
ANTHEM BC/BS
ME
01
—
1042460
AETNA
ME
01
—
M23126
CIGNA
ME
01
—
MM6245
MEDICARE ID
ME
Enumeration date
03/23/2006
Last updated
01/07/2008
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