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Individual
MS. CHRISTINE WACKOWSKI
Active
Individual
MS. CHRISTINE WACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
TP003869M
PA
363LA2200X
Adult Health Nurse Practitioner
TP003869M
PA
Other
Enumeration date
12/29/2005
Last updated
07/22/2010
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