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Individual

ALELI DUQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
427 E DURANTA AVE STE 108, ALAMO, TX 78516-3409
(956) 787-0770
(956) 787-0995
Mailing address
2200 E 25TH ST, MISSION, TX 78574-7678
(956) 519-0528

Taxonomy

Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
558605
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
088-3035
TX
05
165-0293
TX
Enumeration date
03/19/2007
Last updated
02/10/2010
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