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Individual
VICENTE GRANADO
Active
Individual
VICENTE GRANADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP143060
TEXAS BOARD OF NURSING LICENSE
TX
Enumeration date
09/27/2019
Last updated
09/14/2023
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