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Individual
MARILYN WADE-FOSTER
Active
Individual
MARILYN WADE-FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170261
VA
363L00000X
Nurse Practitioner
Primary
5005456
NC
Other
Enumeration date
11/28/2011
Last updated
02/24/2022
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