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Individual

MARK DENNIEL MACABUAG JAVIER

Active
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Individual

MARK DENNIEL MACABUAG JAVIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
729618
CA
363L00000X
Nurse Practitioner
Primary
95020784
CA
363LA2100X
Acute Care Nurse Practitioner
95020784
CA

Other

Enumeration date
06/16/2023
Last updated
09/10/2026
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