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Individual
JOSHUA ANDREW WANEK
Active
Individual
JOSHUA ANDREW WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25903
TX
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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