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Individual
MR. EFREN VISTA MAMIGO JR.
Active
Individual
MR. EFREN VISTA MAMIGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1033262
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
04/22/2026
Last updated
05/26/2026
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