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Individual
NATHAN DAVID SAMUEL
Active
Individual
NATHAN DAVID SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201908535NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
95014504
CA
Other
Enumeration date
03/18/2020
Last updated
04/08/2021
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