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Individual

LYNN JIE XU

Active
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Individual

LYNN JIE XU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22354
CA
363LG0600X
Gerontology Nurse Practitioner
22354
CA

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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