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Individual

MICHELLE ODETTE NAZARIO

Active
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Individual

MICHELLE ODETTE NAZARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
260984
NY
2084P0800X
Psychiatry Physician
Primary
P6475
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080462703
TX
Enumeration date
02/09/2009
Last updated
06/26/2014
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