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1588072474
KELLY WILMARTH
JOHNSON CITY, NY
NPI
1588072474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 338979)
Enumeration Date
2014-07-24
Last Update Date
2021-09-17
Business Address
KELLY WILMARTH C-FNP
401 MAIN ST STE 1
JOHNSON CITY, NY 13790-2065
Phone number: 607-754-9870
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Mailing Address
KELLY WILMARTH C-FNP
401 MAIN ST STE 1
JOHNSON CITY, NY 13790-2065
Phone number: 607-754-9870
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