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Individual
GERARDO RAFAEL CHAVEZ
Active
Individual
GERARDO RAFAEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MLS (ASCP), MBA
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
249997
NM
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
249997
NM
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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