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1114560950
JASON RIVERA
LAREDO, TX
NPI
1114560950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1126707)
Enumeration Date
2019-10-24
Last Update Date
2023-06-21
Business Address
JASON RIVERA FNP
1419 CLARK BLVD
LAREDO, TX 78040-3417
Phone number: 956-723-0039
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Mailing Address
JASON RIVERA FNP
228 SEVILLA LOOP
LAREDO, TX 78043-4152
Phone number: 956-307-0318
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