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1669026662
WILIANA E LOPEZ
FREEPORT, NY
NPI
1669026662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344680)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
WILIANA E LOPEZ
301 S MAIN ST
FREEPORT, NY 11520-5114
Phone number: 631-968-3360
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Mailing Address
WILIANA E LOPEZ
61 CENTRE ST
FREEPORT, NY 11520-3145
Phone number: 516-543-7811
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