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Individual
JUAN G MORONES
Active
Individual
JUAN G MORONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320225
LVN
TX
Enumeration date
08/07/2018
Last updated
08/07/2018
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