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Individual
JOHN CHESTER SIACHITEMA
Active
Individual
JOHN CHESTER SIACHITEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP136527
TEXAS BOARD OF NURSES APRN LICENSE
TX
Enumeration date
03/23/2018
Last updated
03/23/2018
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