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Individual
IRMA L WISENER
Active
Individual
IRMA L WISENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
263696
CA
Other
Enumeration date
03/11/2008
Last updated
12/03/2008
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