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Individual
JUAN ALLENDE
Active
Individual
JUAN ALLENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
695208
NY
164W00000X
Licensed Practical Nurse
315113
NY
246RP1900X
Phlebotomy Technician
B3Q6Z7G2
NY
Other
Enumeration date
08/07/2013
Last updated
02/06/2015
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