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Individual
MS. SALLY TWEDT
Active
Individual
MS. SALLY TWEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP,ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C-098350
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477943
—
IA
Enumeration date
02/22/2006
Last updated
10/26/2010
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