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Individual
MARIO REMEDIOS ORTIZ
Active
Individual
MARIO REMEDIOS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD; PHCNS-BC, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71005395A
IN
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
71005395A
IN
Other
Enumeration date
03/26/2015
Last updated
07/30/2015
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