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Individual
MARY E. WARDLAW
Active
Individual
MARY E. WARDLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7899
CA
363LF0000X
Family Nurse Practitioner
Primary
7899
CA
Other
Enumeration date
10/02/2006
Last updated
10/30/2017
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