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Individual
WAYNE E BRANSON
Active
Individual
WAYNE E BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041224814
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010122910
BLUE CROSS
IL
Enumeration date
12/18/2008
Last updated
12/18/2008
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