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Individual
MARY AYE
Active
Individual
MARY AYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175077-30
WI
363LA2200X
Adult Health Nurse Practitioner
2014004353
WI
363LG0600X
Gerontology Nurse Practitioner
2014004353
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
2014004353
WI
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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