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Individual

ALLISON MEREDITH JAY

Active
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Individual

ALLISON MEREDITH JAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
4301097124
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H208910
BLUE CROSS
MI
05
1497960397
MI
Enumeration date
05/14/2007
Last updated
10/16/2014
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