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Individual
MINERVA S CARRASCO
Active
Individual
MINERVA S CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196949
CA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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