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Individual
MIGUEL PEREZ
Active
Individual
MIGUEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013010838
MO
363L00000X
Nurse Practitioner
53-75791-062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013010838
LICENSE
MO
01
—
53-75791-062
LICENSE
KS
Enumeration date
04/18/2014
Last updated
10/28/2015
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