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1356972483
KRISTEN ELIZABETH WISSBAUM
WILMINGTON, NC
NPI
1356972483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5012734)
Enumeration Date
2020-01-28
Last Update Date
2021-07-07
Business Address
KRISTEN ELIZABETH WISSBAUM NP
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403-5345
Phone number: 910-662-9300
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Mailing Address
KRISTEN ELIZABETH WISSBAUM NP
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number:
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