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Individual

JASMINE JOSEPH

Active
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Individual

JASMINE JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
062693
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110095654
RAILROAD MEDICARE
MI
05
3138375
MI
01
381358036011
TRICARE
MI
Enumeration date
11/17/2005
Last updated
04/21/2009
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