Provider Information for 1275008476
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LYNN JONES
Sex: Female
NPI: 1275008476
Last Updated: 2021-03-13
Certification Date: 2021-03-13
Certification Date: 2021-03-13
Details
| Name | Value | ||||||||||||
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| NPI | 1275008476 | ||||||||||||
| Enumeration Date | 2018-10-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1312 N WEST ST WILMINGTON, DE 19801-1028 United States Phone: 302-415-0341 | Fax: | ||||||||||||
| Primary Practice Address | 1312 N WEST ST WILMINGTON, DE 19801-1028 United States Phone: 302-415-0341 | Fax: | ||||||||||||
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