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Individual
SAMUEL MAYO
Active
Individual
SAMUEL MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2312854
MA
363LF0000X
Family Nurse Practitioner
Primary
0024180697
VA
Other
Enumeration date
09/13/2019
Last updated
08/05/2021
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