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Individual
MICHAEL DAMON WASCHER
Active
Individual
MICHAEL DAMON WASCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
471117
CA
163WC1500X
Community Health Registered Nurse
53183
CA
363LF0000X
Family Nurse Practitioner
Primary
18538
CA
Other
Enumeration date
04/23/2008
Last updated
11/22/2011
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