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Individual
MARY C. WILK
Active
Individual
MARY C. WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
418884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138633601
—
TX
05
—
138633602
—
TX
05
—
138633603
—
TX
05
—
138633604
—
TX
05
—
138633605
—
TX
05
—
138633607
—
TX
05
—
138633608
—
TX
05
—
138633610
—
TX
05
—
138633611
—
TX
05
—
138633612
—
TX
05
—
138633613
—
TX
Enumeration date
08/01/2005
Last updated
09/03/2009
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