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Individual
MAGDIEL GARCIA
Active
Individual
MAGDIEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2795062
HIGHMARK BLUE SHIELD
PA
01
—
50033226
CAPITAL BLUE CROSS
PA
01
—
660979
UNITED HEALTHCARE
PA
01
—
P38305
AMERIHEALTH
PA
Enumeration date
11/09/2006
Last updated
09/17/2013
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