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Individual
DEAN ROBINS WENTWORTH
Active
Individual
DEAN ROBINS WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200750106
OR
363LA2200X
Adult Health Nurse Practitioner
75068
KS
363LF0000X
Family Nurse Practitioner
2007501060NP
OR
363LF0000X
Family Nurse Practitioner
200750106NP
OR
Other
Enumeration date
07/23/2007
Last updated
03/01/2019
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