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Individual
JENNI LYNNE STRAUGHAN
Active
Individual
JENNI LYNNE STRAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
174400000X
Specialist
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002065000
—
ID
05
—
002065100
—
ID
Enumeration date
05/04/2007
Last updated
05/08/2008
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