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Individual
REBECCA CHUFFO DAVILA
Active
Individual
REBECCA CHUFFO DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
K108414
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427971
—
IA
01
—
35805
WELLMARK BCBS
IA
Enumeration date
09/28/2005
Last updated
07/13/2016
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