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1295437796
LADEIVIA CHERAE WILEY
LUBBOCK, TX
NPI
1295437796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1113064)
Enumeration Date
2023-03-20
Last Update Date
2023-04-24
Business Address
LADEIVIA CHERAE WILEY FNP-C
3516 22ND PL
LUBBOCK, TX 79410-1316
Phone number: 806-797-3322
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Mailing Address
LADEIVIA CHERAE WILEY FNP-C
2005 E GRINNELL ST
LUBBOCK, TX 79403-1170
Phone number: 806-300-4055
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