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Individual
ROBERT DELOACH
Active
Individual
ROBERT DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001345
CA
363LF0000X
Family Nurse Practitioner
95001345
CA
Other
Enumeration date
10/14/2014
Last updated
01/03/2018
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