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Individual
JANE ROUNTREE
Active
Individual
JANE ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GONP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
800148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800148
LICENSE NUMBER
NC
Enumeration date
05/04/2007
Last updated
07/08/2007
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