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Individual

ROBERT JOSH WANSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CFNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R867280
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
R867280
MS

Other

Enumeration date
02/09/2010
Last updated
11/26/2021
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