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Individual

JAMIE L DEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03611
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200417370A
KS
05
200417370B
KS
01
P00375646
RETIRED RAILROAD MEDICARE
KS
Enumeration date
10/18/2006
Last updated
02/19/2009
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