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Individual
CARLOS VENEGAS JR.
Active
Individual
CARLOS VENEGAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
116073
OK
363LF0000X
Family Nurse Practitioner
46245
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200590320A
—
KS
Enumeration date
09/08/2008
Last updated
01/06/2016
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