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Individual
TIMOTHY WADE FARR
Active
Individual
TIMOTHY WADE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7388059-3102
UT
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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