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1447481502
THERESA CECELIA WILSON
NEW YORK, NY
NPI
1447481502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: NY 380137)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
MS. THERESA CECELIA WILSON PNP
210 W 139TH ST C/O EDWARD NICHOLS MD
NEW YORK, NY 10030-2109
Phone number: 212-234-2121
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Mailing Address
MS. THERESA CECELIA WILSON PNP
210 W 139TH ST C/O EDWARD NICHOLS MD
NEW YORK, NY 10030-2109
Phone number: 212-234-2121
Copy
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