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NPI Profile for JUSTIN R WINE in HUNTINGTON, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Religious Nonmedical Practitioner |
374K00000X |
| NPI # | 1578245585 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/01/2023 | |
| Last updated | 08/01/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JUSTIN R WINE
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JUSTIN R WINE