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Individual
YEA-PYNG LUO
Active
Individual
YEA-PYNG LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7415
GA
363A00000X
Physician Assistant
PA9104900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008199200
—
FL
Enumeration date
02/17/2011
Last updated
11/05/2019
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