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Individual
BARBARA J WILDE
Active
Individual
BARBARA J WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ15192A
—
CA
Enumeration date
07/06/2006
Last updated
07/09/2007
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