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Individual

MRS. JENNIFER MUILENBURG

Active
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Individual

MRS. JENNIFER MUILENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
30304739
NY

Other

Enumeration date
12/04/2007
Last updated
05/30/2019
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