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Individual
MR. JOHN PATRICK MCDERMOTT
Active
Individual
MR. JOHN PATRICK MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 547631
CA
163WC1500X
Community Health Registered Nurse
PHN 60273
CA
363A00000X
Physician Assistant
PA17515
CA
363LF0000X
Family Nurse Practitioner
Primary
NP15241
CA
Other
Enumeration date
05/30/2005
Last updated
11/22/2016
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