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1689977555
TALISA LACHELLE WILKES
MEDFORD, NY
NPI
1689977555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 634239-1)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
Mrs. TALISA LACHELLE WILKES RN
1008 LAKE DR
MEDFORD, NY 11763-4618
Phone number: 631-647-2645
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Mailing Address
Mrs. TALISA LACHELLE WILKES RN
1008 LAKE DR
MEDFORD, NY 11763-4618
Phone number: 631-647-2645
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