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Individual
CODY RODRIGUEZ
Active
Individual
CODY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
805416
TX
363LG0600X
Gerontology Nurse Practitioner
805416
TX
Other
Enumeration date
02/05/2018
Last updated
04/09/2018
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