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Individual
ILSE JOHANNA GUEVARA
Active
Individual
ILSE JOHANNA GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9421801
FL
363LF0000X
Family Nurse Practitioner
APRN11010659
FL
363LF0000X
Family Nurse Practitioner
Primary
F11200763
FL
Other
Enumeration date
11/23/2020
Last updated
05/18/2021
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