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Individual
JESSICA DENISE DE LARA
Active
Individual
JESSICA DENISE DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC-PNP-C
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
AP127132
TX
Other
Enumeration date
01/05/2015
Last updated
07/29/2015
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