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Individual
JULLIE A MACASERO-NAVARRO
Active
Individual
JULLIE A MACASERO-NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
741655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312516301
—
TX
01
—
741655
LICENSE
TX
Enumeration date
08/07/2012
Last updated
11/05/2020
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