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Individual
MR. JUAN JOSE CONDE SR.
Active
Individual
MR. JUAN JOSE CONDE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
616739
TX
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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