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Individual
PUREZA VICTOR
Active
Individual
PUREZA VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00848600
NJ
363A00000X
Physician Assistant
8613
WI
363AM0700X
Medical Physician Assistant
016361
NY
Other
Enumeration date
04/29/2013
Last updated
10/21/2025
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