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Individual
MR. MARU LUIS GONZALES LADILAD
Active
Individual
MR. MARU LUIS GONZALES LADILAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
AP125956
TX
363LF0000X
Family Nurse Practitioner
Primary
AP125956
TX
363LP2300X
Primary Care Nurse Practitioner
AP125956
TX
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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