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1710534607
KAITLYN WYNNE
CANYON, TX
NPI
1710534607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP142425)
Enumeration Date
2019-08-25
Last Update Date
2019-09-17
Business Address
KAITLYN WYNNE FNP-C
301 N 23RD ST STE C
CANYON, TX 79015-3058
Phone number: 806-452-5522
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Mailing Address
KAITLYN WYNNE FNP-C
PO BOX 3046
MALVERN, PA 19355-0746
Phone number: 806-452-5522
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