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Individual
MR. JUAN MANNINGS
Active
Individual
MR. JUAN MANNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.S.A.
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
238.000396
IL
363AS0400X
Surgical Physician Assistant
238.000396
IL
Other
Enumeration date
03/09/2009
Last updated
06/03/2015
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