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Individual
MEEJUNG BELASCO
Active
Individual
MEEJUNG BELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21604
CA
363L00000X
Nurse Practitioner
3750-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144459892
—
WI
01
—
171400019
MEDICARE
WI
Enumeration date
07/02/2009
Last updated
06/11/2013
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