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Jose Antonio Sepulveda Jr., Registered Nurse

Registered Nurse in West Middletown, NY. Individual provider (NPI-1).

NPI number1013559244
StatusActive
Last updated in NPPESOct 9, 2019

Details

NPI
1013559244
Entity type
Individual (NPI-1)
Name
Jose Antonio Sepulveda Jr.
Credential
Registered Nurse
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 9, 2019
Last updated
Oct 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse777879-01NYYes

Practice location

15 Fortune Rd
West Middletown, NY 10941

Phone 845-692-4454

Mailing address

57 Highland Ave
Walden, NY 12586-1034

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Other Registered Nurse providers in West Middletown, NY

All 5 Registered Nurse providers in West Middletown · All 18 providers in West Middletown

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