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Individual

MRS. DEBRA JEAN WOLF

Active
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Individual

MRS. DEBRA JEAN WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
KY 1030153 24198
KY
363L00000X
Nurse Practitioner
Primary
3002419
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183919
RIVERBEND GOVERNMENT
KY
05
—
35001643
—
KY
05
—
78005014
—
KY
Enumeration date
12/29/2005
Last updated
07/10/2015
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