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Individual
MS. WENDY PROCTOR
Active
Individual
MS. WENDY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-78610
NM
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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