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1073025482
CHANELLE WILSON
CORTLANDT MANOR, NY
NPI
1073025482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 341582)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
CHANELLE WILSON NP
249 MILLINGTON RD
CORTLANDT MANOR, NY 10567
Phone number: 610-442-0979
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Mailing Address
CHANELLE WILSON NP
249 MILLINGTON RD
CORTLANDT MANOR, NY 10567-1637
Phone number: 610-442-0979
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