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Individual
PERCIVAL NAM
Active
Individual
PERCIVAL NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL.0011033
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0011033
CO
Other
Enumeration date
05/15/2025
Last updated
06/03/2025
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