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1720855653
ALLIE RAE WAYMAN
NEWPORT, OR
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
2024-12-13
Business Address
ALLIE RAE WAYMAN DNP, PMHNP-BC
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 414-617-8595
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Mailing Address
ALLIE RAE WAYMAN DNP, PMHNP-BC
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 414-617-8595
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