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Individual
JOSE ELIGIO SAMSON
Active
Individual
JOSE ELIGIO SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657249
CA
363LF0000X
Family Nurse Practitioner
Primary
95000208
CA
Other
Enumeration date
12/25/2013
Last updated
07/14/2016
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