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Individual
JESUS ISMAEL IRSULA PACHECO
Active
Individual
JESUS ISMAEL IRSULA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10869057
TX
363LF0000X
Family Nurse Practitioner
Primary
1089057
TX
Other
Enumeration date
06/21/2016
Last updated
11/10/2022
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