Individual
JILL LYNN AMSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105398
MN
208000000X
Pediatrics Physician
R-8471
IA
Other
Enumeration date
06/25/2008
Last updated
07/06/2011
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