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Individual
MR. MARVIN WALLACE WILLIAMS
Active
Individual
MR. MARVIN WALLACE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN60162577
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 60302470
WA
Other
Enumeration date
09/22/2011
Last updated
02/09/2017
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