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Individual
LYNNE B WALTERS
Active
Individual
LYNNE B WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00062664
CA
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MA00003845
WA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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