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Individual
MRS. LEA JONES DURAN
Active
Individual
MRS. LEA JONES DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
370656
OH
363L00000X
Nurse Practitioner
Primary
APRN11027502
FL
363LF0000X
Family Nurse Practitioner
019549-CNP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185869
—
OH
05
—
124229900
—
FL
01
—
C65RA
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/11/2016
Last updated
12/03/2024
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