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Individual
JUAN LUIS SOTO
Active
Individual
JUAN LUIS SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142907
TX
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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