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1003847773
ALTHEA NERESSA WILSON
BROOKLYN, NY
NPI
1003847773
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Former Name
ALTHEA NERESSA TINKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 009767)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
Mrs. ALTHEA NERESSA WILSON PA-C
506 6TH ST
BROOKLYN, NY 11215-3609
Phone number: 718-780-7700
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Mailing Address
Mrs. ALTHEA NERESSA WILSON PA-C
2160 HOLLAND AVE APT E8
BRONX, NY 10462-1730
Phone number: 718-794-9340
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