# JOHNNY VALITO TOLES SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063154052
- **Gender:** Man
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | 27064709A | IN | Yes |

## Other

- **Enumeration date:** 04/10/2022
- **Last updated:** 04/10/2022