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1487706222
PHYLLIS WILDER
VIRGINIA BEACH, VA
NPI
1487706222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: AL 1-023054)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- PHYLLIS WILDER RN
2132 MILL CROSSING DR APT 206
VIRGINIA BEACH, VA 23454-1263
Phone number: 757-961-6592
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Mailing Address
-- PHYLLIS WILDER RN
2132 MILL CROSSING DR APT 206
VIRGINIA BEACH, VA 23454-1263
Phone number: 757-894-8703
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