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Individual
MR. ELIAHKIM MAZO MABUTE
Active
Individual
MR. ELIAHKIM MAZO MABUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
977911
TX
363LF0000X
Family Nurse Practitioner
Primary
1232439
TX
Other
Enumeration date
10/23/2024
Last updated
06/26/2026
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