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Individual
MARY AXENTE
Active
Individual
MARY AXENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
18764
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
RN293203
GA
Other
Enumeration date
10/08/2014
Last updated
10/14/2021
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