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Individual
YUTING WANG
Active
Individual
YUTING WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.017260
IL
363LG0600X
Gerontology Nurse Practitioner
209.017260
IL
363LP2300X
Primary Care Nurse Practitioner
209.017260
IL
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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