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Individual
WAYNE T. DEWRI
Active
Individual
WAYNE T. DEWRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
PA 18316
CA
363A00000X
Physician Assistant
PA18316
CA
Other
Enumeration date
03/12/2007
Last updated
12/07/2009
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