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1164983953
CARLA JEAN WISNIEWSKI
BLUE POINT, NY
NPI
1164983953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 615223)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
CARLA JEAN WISNIEWSKI RN
263 BLUE POINT AVE
BLUE POINT, NY 11715-1224
Phone number: 866-794-1644
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Mailing Address
CARLA JEAN WISNIEWSKI RN
35 RYERSON AVE
MANORVILLE, NY 11949-2409
Phone number:
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