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Individual
MR. TOMAS ANDREW ALEBUSA JACA
Active
Individual
MR. TOMAS ANDREW ALEBUSA JACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
745629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745629
RN LICENSE
CA
Enumeration date
11/02/2016
Last updated
11/02/2016
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