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Individual
MR. EVELIO MANTEIRA BARBAN
Active
Individual
MR. EVELIO MANTEIRA BARBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN9480510
FL
363L00000X
Nurse Practitioner
Primary
APRN11004945
FL
Other
Enumeration date
07/21/2019
Last updated
09/26/2022
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