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Individual

JORGE RAFAEL ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3910 MANGROVE PL, GRANT, FL 32949-5337
(305) 905-0637
Mailing address
3910 MANGROVE PL, GRANT, FL 32949-5337
(305) 905-0637

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
313806
AZ

Other

Enumeration date
10/07/2024
Last updated
10/07/2024
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