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Individual
WAYNETTE COWSER DOVE
Active
Individual
WAYNETTE COWSER DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1054989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1233478
CAQH
TX
Enumeration date
11/12/2009
Last updated
09/01/2012
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