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Individual
JUANA MARINA CORDON
Active
Individual
JUANA MARINA CORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2105773656
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105773656
IDENTIFICATION CARD
NV
Enumeration date
07/18/2019
Last updated
07/18/2019
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