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Individual
MR. DALLAS FRANCISCO VALENTINE
Active
Individual
MR. DALLAS FRANCISCO VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4074245548
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN9383285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12290315
CAQH
MI
01
—
4074245548
STATE MEDICAL LICENSE
MI
01
—
ARNP9383285
STATE MEDICAL LICENSE
FL
Enumeration date
09/14/2011
Last updated
08/15/2024
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