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1174158695
ANNETTE MARIE WIESNER
VESTAL, NY
NPI
1174158695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F331330)
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
ANNETTE MARIE WIESNER FNP
225 VESTAL PKWY E
VESTAL, NY 13850-1629
Phone number: 607-752-2692
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Mailing Address
ANNETTE MARIE WIESNER FNP
302 BUNN HILL RD
VESTAL, NY 13850-5913
Phone number: 607-624-0351
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