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Individual

MS. JILL EILEEN MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-1111
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87144
(505) 994-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0064
NM
363A00000X
Physician Assistant
PA21672
CA
363AS0400X
Surgical Physician Assistant
PA2024-0064
NM

Other

Enumeration date
08/22/2007
Last updated
08/08/2024
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