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Individual

JARED LITTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-8780
(910) 321-6250
Mailing address
2537 MOMENTUM PL, CHICAGO, IL 60689-5325
(616) 975-1845
(616) 285-0846

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03307
NC

Other

Enumeration date
02/03/2012
Last updated
10/30/2015
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