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Individual
KEIFFER BENGIE WYBLE
Active
Individual
KEIFFER BENGIE WYBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP09352
LA
363LG0600X
Gerontology Nurse Practitioner
AP09352
LA
364SR0400X
Rehabilitation Clinical Nurse Specialist
Primary
AP09352
LA
Other
Enumeration date
07/13/2016
Last updated
05/30/2024
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