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Individual

MS. ELIZABETH YUMI MAYBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.006061
IL
363AS0400X
Surgical Physician Assistant
C07079
MD

Other

Enumeration date
11/29/2016
Last updated
06/21/2022
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