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Individual
STELLA WINGATE
Active
Individual
STELLA WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008525
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718566724B
—
GA
05
—
718566724C
—
GA
01
—
PT008525
GA PT LICENSE
GA
Enumeration date
02/28/2007
Last updated
07/16/2015
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