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Individual

MR. JESUS VERA AGUILERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
60616
MN
207RH0003X
Hematology & Oncology Physician
60616
MN
207RX0202X
Medical Oncology Physician
Primary
60616
MN
390200000X
Student in an Organized Health Care Education/Training Program
BP10047928
TX

Other

Enumeration date
06/25/2013
Last updated
06/11/2019
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