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Individual
MARLEN GRACE MARIN
Active
Individual
MARLEN GRACE MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11001362
FL
363LA2200X
Adult Health Nurse Practitioner
11001362
FL
363LG0600X
Gerontology Nurse Practitioner
11001362
FL
363LP2300X
Primary Care Nurse Practitioner
11001362
FL
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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