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Individual
ROBERTA REYES
Active
Individual
ROBERTA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN APN
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
041.283659
IL
163WX0800X
Orthopedic Registered Nurse
209.003594
IL
364S00000X
Clinical Nurse Specialist
Primary
209003594
IL
Other
Enumeration date
02/09/2015
Last updated
09/30/2015
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