Provider Information for 1376075143
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CHRISTINA WYNKOOP LPC
Sex: Female
NPI: 1376075143
Last Updated: 2024-06-04
Certification Date: 2024-06-04
Certification Date: 2024-06-04
Details
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NPI | 1376075143 | ||||||||
Enumeration Date | 2017-03-31 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 26 PENNSYLVANIA AVE DELAWARE, OH 43015-1207 United States Phone: 740-602-1447 | Fax: | ||||||||
Primary Practice Address | 26 PENNSYLVANIA AVE DELAWARE, OH 43015-1207 United States Phone: 740-602-1447 | Fax: | ||||||||
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