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Individual
CARL JOSEPH DURIAS
Active
Individual
CARL JOSEPH DURIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1015131
DC
363A00000X
Physician Assistant
Primary
C07710
MD
363A00000X
Physician Assistant
PA031854
DC
Other
Enumeration date
10/13/2019
Last updated
10/16/2020
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