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Individual
ABEL MENDOZA
Active
Individual
ABEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGCNS- BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0099596
OK
364S00000X
Clinical Nurse Specialist
Primary
230540
OK
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
230540
OK
Other
Enumeration date
01/15/2025
Last updated
08/31/2026
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