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1457613861
SOPHIA LORRAINE WILSON
NEW YORK, NY
NPI
1457613861
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Professional Name
SOPHIA LORRAINE WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 337155)
Enumeration Date
2012-06-12
Last Update Date
2016-01-06
Business Address
Ms. SOPHIA LORRAINE WILSON FNP
610 W 158TH ST
NEW YORK, NY 10032-7104
Phone number: 212-544-1860
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Mailing Address
Ms. SOPHIA LORRAINE WILSON FNP
17545 88TH AVE APT 3 K
JAMAICA, NY 11432-5759
Phone number: 917-861-4353
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