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Individual
JORGE BETANCO
Active
Individual
JORGE BETANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N3497
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL-1979
CO
Other
Enumeration date
01/26/2007
Last updated
04/05/2012
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