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Individual
JOSE LUIS RENTERIA
Active
Individual
JOSE LUIS RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-76710-092
KS
Other
Enumeration date
03/11/2015
Last updated
03/16/2015
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