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Individual
LEVI G. BARAHONA
Active
Individual
LEVI G. BARAHONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
248661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248661
LICENSED VOCATIONAL NURSE
CA
Enumeration date
06/04/2012
Last updated
06/04/2012
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