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Individual

JENNIFER NADINE PERRY

Active
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Individual

JENNIFER NADINE PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639329
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
60279429
WA

Other

Enumeration date
02/03/2011
Last updated
05/10/2012
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