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Individual
JUVENAL BERMUDEZ
Active
Individual
JUVENAL BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
10066
GA
363A00000X
Physician Assistant
Primary
10066
GA
Other
Enumeration date
01/15/2021
Last updated
04/28/2025
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