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1053599464
WAYNE CARPENTER
RANCHO MIRAGE, CA
NPI
1053599464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029611)
Enumeration Date
2008-02-07
Last Update Date
2024-07-05
Business Address
Mr. WAYNE CARPENTER FNP
36101 BOB HOPE DR SUITE A
RANCHO MIRAGE, CA 92270
Phone number: 760-773-4948
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Mailing Address
Mr. WAYNE CARPENTER FNP
6351 IMPERIAL DR
YUCCA VALLEY, CA 92284-2252
Phone number: 619-204-1315
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