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1740862713
RYAN DOUGLAS WADSWORTH
CAMP LEJEUNE, NC
NPI
1740862713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 201738)
Enumeration Date
2021-04-28
Last Update Date
2022-02-07
Business Address
RYAN DOUGLAS WADSWORTH FNP
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-449-2645
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Mailing Address
RYAN DOUGLAS WADSWORTH FNP
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 918-510-8098
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