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1194919456
BERNISE WILSON
CERRITOS, CA
NPI
1194919456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95003938)
Enumeration Date
2007-08-30
Last Update Date
2018-05-08
Business Address
BERNISE WILSON
12900 PARK PLAZA DR
CERRITOS, CA 90703-9329
Phone number: 866-646-3553
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Mailing Address
BERNISE WILSON
PO BOX 15921
LONG BEACH, CA 90815-0921
Phone number:
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