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Individual
RICKY WADE
Active
Individual
RICKY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
845182
TX
Other
Enumeration date
09/16/2014
Last updated
02/17/2022
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