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Individual

MS. VICTORIA LYNN VANDYKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
07635952N5
OR
367A00000X
Advanced Practice Midwife
AP30003066
WA

Other

Enumeration date
09/27/2006
Last updated
01/06/2020
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