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Individual
JOSE COUCEIRO
Active
Individual
JOSE COUCEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
73000019A
IN
390200000X
Student in an Organized Health Care Education/Training Program
FT484
KY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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