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Individual
MINI JOHN
Active
Individual
MINI JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
963904
TX
163WC0200X
Critical Care Medicine Registered Nurse
963904
TX
163WM0705X
Medical-Surgical Registered Nurse
963904
TX
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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