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1720855653
ALLIE RAE WAYMAN
CHICAGO, IL
NPI
1720855653
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Former Name
ALLIE RAE LARSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 14797)
Enumeration Date
2023-12-11
Last Update Date
2024-03-25
Business Address
ALLIE RAE WAYMAN DNP, PMHNP-BC
600 S PAULINA ST # 1080
CHICAGO, IL 60612-3806
Phone number: 312-942-7117
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Mailing Address
ALLIE RAE WAYMAN DNP, PMHNP-BC
600 S PAULINA ST # 1080
CHICAGO, IL 60612-3806
Phone number: 312-942-7117
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