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Individual

SANDRA STREISEL JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19625
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3560
SC
01
SC73585551
MEDICARE PIN
SC
Enumeration date
08/14/2015
Last updated
07/26/2017
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