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Individual
MARC COMPLETO
Active
Individual
MARC COMPLETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN143627
AZ
163WH0200X
Home Health Registered Nurse
Primary
RN143627
AZ
163WI0500X
Infusion Therapy Registered Nurse
RN143627
AZ
163WW0000X
Wound Care Registered Nurse
RN143627
AZ
163WX1500X
Ostomy Care Registered Nurse
RN143627
AZ
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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