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Individual
DR. MARCO VIDAURRI JR.
Active
Individual
DR. MARCO VIDAURRI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60913
PHARMACIST LICENSE
TX
Enumeration date
07/31/2017
Last updated
07/31/2017
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