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Individual
SARAH EILEEN MANN
Active
Individual
SARAH EILEEN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001010049
NC
363A00000X
Physician Assistant
0110006267
VA
363A00000X
Physician Assistant
Primary
MA065614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001010049
STATE LICENSE NUMBER
NC
01
—
MA065614
STATE LICENSE NUMBER
PA
Enumeration date
07/11/2018
Last updated
06/19/2026
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