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Individual
MAI VUE
Active
Individual
MAI VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95070135
CA
363L00000X
Nurse Practitioner
Primary
95024866
CA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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