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Individual
MASON KIZZIAR
Active
Individual
MASON KIZZIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-FNP, RNFA, CST
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
850536
TX
246ZS0410X
Surgical Technologist
116194
TX
363LF0000X
Family Nurse Practitioner
Primary
1070127
TX
Other
Enumeration date
11/20/2014
Last updated
08/29/2024
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