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Individual
MR. ROY L BLANCO
Active
Individual
MR. ROY L BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,MSN,FNP-C,PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 19007
CA
363LF0000X
Family Nurse Practitioner
Primary
NP 16596
CA
Other
Enumeration date
03/22/2007
Last updated
03/15/2022
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