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Individual

KALEY LEANN WYMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
901 MEADOWS DR, NORTHLAKE, TX 76226-1987
(940) 783-8633
Mailing address
901 MEADOWS DR, NORTHLAKE, TX 76226-1987
(940) 783-8633

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1018161
TX

Other

Enumeration date
12/23/2020
Last updated
12/23/2020
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