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Individual
KATIE J VICHENSONT
Active
Individual
KATIE J VICHENSONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1113468
TX
363LF0000X
Family Nurse Practitioner
Primary
1113468
TX
Other
Enumeration date
07/05/2023
Last updated
03/27/2024
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