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Individual
MRS. CARMEN RENEE WYCOFF
Active
Individual
MRS. CARMEN RENEE WYCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C-096428
IA
Other
Enumeration date
09/21/2009
Last updated
05/18/2011
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