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Individual
JAMIE E WADAS
Active
Individual
JAMIE E WADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.016480
IL
363LF0000X
Family Nurse Practitioner
Primary
1067257
TX
363LF0000X
Family Nurse Practitioner
209016480
IL
Other
Enumeration date
12/05/2017
Last updated
08/23/2022
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