# MR. KLAR FULGENTES PASILABAN

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

## Provider details

- **NPI number:** 1104371806
- **Gender:** Man
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 95004610 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 202005274NP-PP | OR | — |
| 363LP2300X | Primary Care Nurse Practitioner | 219427 | AZ | — |
| 363LP2300X | Primary Care Nurse Practitioner | 54130 | NM | — |
| 363LP2300X | Primary Care Nurse Practitioner | 813583 | NV | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95004610 | CA | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | AP61019951 | WA | — |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 07/21/2020