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Individual
ASHLEY MARYANN MAE WEGER
Active
Individual
ASHLEY MARYANN MAE WEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339219
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NON
—
Enumeration date
04/05/2018
Last updated
04/05/2018
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