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Individual
GWENDOLYN DUNEVANT COFFEY
Active
Individual
GWENDOLYN DUNEVANT COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10083
CA
363LA2200X
Adult Health Nurse Practitioner
10083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436055
LICENSE
CA
Enumeration date
01/17/2007
Last updated
12/30/2025
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