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Individual
JAMIE B WINNER
Active
Individual
JAMIE B WINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
0001042666
VA
363L00000X
Nurse Practitioner
Primary
0024165235
VA
Other
Enumeration date
02/06/2007
Last updated
03/06/2013
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