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Individual
ROBERT MARROQUIN JR.
Active
Individual
ROBERT MARROQUIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
303434
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103301232
VA
390200000X
Student in an Organized Health Care Education/Training Program
T60-2012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06304047
—
MS
05
—
2430831
—
LA
Enumeration date
08/01/2012
Last updated
08/02/2022
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