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Individual
JUAN RODRIGUEZ
Active
Individual
JUAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14136100
NJ
163WE0003X
Emergency Registered Nurse
619839-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307550-1
NY
Other
Enumeration date
10/05/2015
Last updated
02/10/2016
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