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Individual

DESIRAE ANN TEMPLETON

Active
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Individual

DESIRAE ANN TEMPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01234
WV
363AM0700X
Medical Physician Assistant
Primary
394
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810025036
WV
Enumeration date
07/27/2007
Last updated
06/16/2026
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