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Individual

WATSON CAMILUS

Active
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Individual

WATSON CAMILUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN9430192
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020841
FL

Other

Enumeration date
06/26/2022
Last updated
07/28/2022
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