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Individual
CAROL DENISE WATKINS
Active
Individual
CAROL DENISE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R133381
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
SP019974
PA
Other
Enumeration date
09/15/2011
Last updated
05/08/2019
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