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Individual

MR. JUAN R GARCIA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCA

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
224900000X
Mastectomy Fitter
224L00000X
Pedorthist
225000000X
Orthotic Fitter
229N00000X
Anaplastologist
Primary
5271320002
MD

Other

Enumeration date
07/11/2006
Last updated
03/07/2025
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