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Individual
TRISTAN ROMAN LUBINA
Active
Individual
TRISTAN ROMAN LUBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
10670291-3102
UT
363L00000X
Nurse Practitioner
Primary
12345127-4405
UT
Other
Enumeration date
03/07/2021
Last updated
07/29/2021
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