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Individual
MALLELIN BENGOCHEA
Active
Individual
MALLELIN BENGOCHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA66961
FL
363L00000X
Nurse Practitioner
Primary
APRN11008135
FL
Other
Enumeration date
02/03/2014
Last updated
07/01/2021
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