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Individual
MR. TONY WRINKLE
Active
Individual
MR. TONY WRINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60597788
WA
Other
Enumeration date
09/16/2014
Last updated
06/10/2021
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