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Individual
WABERTE REID
Active
Individual
WABERTE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
991917
NY
164W00000X
Licensed Practical Nurse
331113-01
NY
Other
Enumeration date
10/06/2023
Last updated
06/20/2025
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