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Individual
REBECCA MCSWAIN WISE
Active
Individual
REBECCA MCSWAIN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
40535
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162690000
—
WV
Enumeration date
04/02/2008
Last updated
04/02/2008
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