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Individual
MR. LARRY JAMES MATURIN JR.
Active
Individual
MR. LARRY JAMES MATURIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APN, ACNS-BC
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041.323524
IL
364S00000X
Clinical Nurse Specialist
Primary
209.010006
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209.010006
IL
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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