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1235958802
DEBRA ELIZABETH WILSON
PENNSAUKEN, NJ
NPI
1235958802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26npo4515300)
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
DEBRA ELIZABETH WILSON
6103 WESTFIELD AVE
PENNSAUKEN, NJ 08110-1754
Phone number: 856-486-9097
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Mailing Address
DEBRA ELIZABETH WILSON
222 CYPRESS AVE APT 1
WOODLYNNE, NJ 08107-2122
Phone number: 856-375-4246
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