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Individual
MR. MARK ANWULI AWANYAI JR.
Active
Individual
MR. MARK ANWULI AWANYAI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95100194
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
331435
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037463
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN10034774
MA
Other
Enumeration date
01/18/2023
Last updated
09/09/2026
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