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1649588682
JONATHAN SCOTT WYLIE
FRESNO, CA
NPI
1649588682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95003667)
Enumeration Date
2010-09-23
Last Update Date
2021-12-03
Business Address
JONATHAN SCOTT WYLIE CNP
2315 E. ILLINOIS AVE.
FRESNO, CA 93701-2124
Phone number: 866-342-6012
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Mailing Address
JONATHAN SCOTT WYLIE CNP
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number: 559-443-2682
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