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Individual
TINA ANN BETANCOURT
Active
Individual
TINA ANN BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280748
NC
163WP2201X
Ambulatory Care Registered Nurse
711718
TX
363LF0000X
Family Nurse Practitioner
Primary
5008228
NC
363LF0000X
Family Nurse Practitioner
RN711718
TX
Other
Enumeration date
07/08/2011
Last updated
01/12/2016
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