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Individual
MICHAEL JUSTIN DUTERTE
Active
Individual
MICHAEL JUSTIN DUTERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
781991
TX
363L00000X
Nurse Practitioner
Primary
1221228
TX
363LA2100X
Acute Care Nurse Practitioner
1221228
TX
Other
Enumeration date
11/06/2025
Last updated
04/03/2026
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