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Individual
MELVIN JAMES DUECK
Active
Individual
MELVIN JAMES DUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11742
NURSE PRACTITIONER LIC #
CA
Enumeration date
02/05/2007
Last updated
05/27/2016
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