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Organization
WYNN INNOVATIONS LLC
Active
Organization
WYNN INNOVATIONS LLC
Active
Other names
Wynn Health
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WYNN (OWNER)
(916) 996-6377
Entity
Organization
Contact information
Practice address
1621 SHELTER COVE DR, GREENWOOD, CA 95635-9509
(916) 996-6377
Mailing address
1621 SHELTER COVE DR, GREENWOOD, CA 95635-9509
(916) 996-6377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
12/19/2022
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