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Individual
KOTEUAISA TANSWANIE WILSON
Active
Individual
KOTEUAISA TANSWANIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CH
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH10077
FL MEDICAL LICENSE
FL
Enumeration date
11/02/2010
Last updated
10/05/2022
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