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Individual
DEXTER R REBANCOS
Active
Individual
DEXTER R REBANCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33762-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32042700
—
WI
Enumeration date
11/01/2006
Last updated
09/24/2024
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