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Individual
JATHAN CANTU
Active
Individual
JATHAN CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2003-0193
NM
207Q00000X
Family Medicine Physician
Primary
G8036
TX
Other
Enumeration date
02/17/2006
Last updated
11/05/2020
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