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Individual
DOLORES P MAGANA
Active
Individual
DOLORES P MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592182
RN LICENSE
CA
01
—
B6945190
DRIVER LICENSE
CA
Enumeration date
07/26/2006
Last updated
04/08/2011
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