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NPI Profile for KELLY L PRETTY WEASEL in FORT WASHAKIE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, Federal |
261QP0904X |
| NPI Number | 1770898140 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 08/10/2010 | |
| Last updated | 08/10/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KELLY L PRETTY WEASEL
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