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1992908008
CARRIE LEE WICKWARE
SAN JOSE, CA
NPI
1992908008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: CA RNH321148)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- CARRIE LEE WICKWARE CDE
750 S BASCOM AVE DIABETES ED
SAN JOSE, CA 95128-2603
Phone number: 408-885-5000
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Mailing Address
-- CARRIE LEE WICKWARE CDE
1590 QUEENSBURY AVE
LOS ALTOS, CA 94024-5843
Phone number: 650-903-0889
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