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Individual
PAUL GAGARIN COLMENARES RODRIGUEZ
Active
Individual
PAUL GAGARIN COLMENARES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN-9529942
FL
246ZC0007X
Surgical Assistant
16-743
AZ
363LF0000X
Family Nurse Practitioner
Primary
F09231243
FL
Other
Enumeration date
09/14/2019
Last updated
10/01/2023
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