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Licensee Information

Marcela Provenzano - PA-C
0010-12733
Active
No
10/24/2022
10/23/2026

Active Supervisor

NameTypeStatusApprovedInactive
Chu, Philip, MD MD Active 07/19/2024
Doss, Jayanth Radhamohan, MD MD Active 10/23/2024

North Carolina Hospital Admitting Privileges

Location
Duke University Hospital

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/11/2026 7:24:25 AM
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