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Individual
MR. JOSE DANIEL MERCADO
Active
Individual
MR. JOSE DANIEL MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B729
PR
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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