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Individual
JUAN DE LEON
Active
Individual
JUAN DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1014119
TX
Other
Enumeration date
08/21/2023
Last updated
06/23/2026
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