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Individual
ROI MARVIN INDEFENSO
Active
Individual
ROI MARVIN INDEFENSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1072090
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1072090
TX
Other
Enumeration date
03/06/2023
Last updated
09/20/2023
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