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Individual
JAMES A CERVANTES
Active
Individual
JAMES A CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19109
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07487
BCBSN
NE
05
—
10025254600
—
NE
Enumeration date
09/14/2006
Last updated
07/08/2007
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