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Individual
MR. LUKE DAVID MAHAN
Active
Individual
MR. LUKE DAVID MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126032
TX
363LF0000X
Family Nurse Practitioner
AP126032
TX
Other
Enumeration date
08/21/2014
Last updated
12/23/2014
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