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Individual
MARIO MUNOZ
Active
Individual
MARIO MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
057.001465
IL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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