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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth Tatum David Arthur 279951 DO 04/15/2024 04/09/2024 1982 Horton Daniel A. 024076 PA 04/15/2024 04/08/2024 1982 Belli Bianca A. 282441 DO 12/11/2023 12/08/2023 1982 Pham Nhan Van 275151 DO 02/28/2023 02/22/2023 1982 Sage Nancy N. 290635 MD 11/22/2022 11/15/2022 1982 Damodar Stephanie Terese 010938 PA 10/18/2022 10/11/2022 1982 Reddy Greeshma P. 291441 MD 08/15/2022 08/08/2022 1982 Schulz Lauren Baldinger 273977 DO 08/15/2022 08/08/2022 1982 Pratap Balaji 271989 MD 07/22/2021 07/15/2021 1982 Jovanovich Alexandar 285939 MD 05/31/2021 05/24/2021 1982 Loungani Rajiv Ramesh 282581 MD 05/24/2021 05/17/2021 1982 Neyra Carlos R. 013299 PA 03/26/2021 04/28/2021 1982 Medvedovsky Andrew 267843 MD 02/23/2021 02/16/2021 1982 Fague Carol Diane 013304 PA 01/11/2021 01/04/2021 1982 Jamil Kevin G. 282224 MD 11/04/2020 10/28/2020 1982 Sison Corinna 275870 MD 10/14/2020 10/08/2020 1982 Blohm Eike 293015 MD 08/18/2020 08/11/2020 1982 Rodriguez Jairo 012535 PA 05/20/2020 05/13/2020 1982 Defreitas Ingrid 010128 PA 06/14/2019 06/07/2019 1982 Presner Elissa L. 012894 PA 10/24/2018 10/17/2018 1982 [First/Prev] 434,435,436,437,438,439,440,441 [Next/Last]

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