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1730514787
KHADIJA WIESE
BROOKLYN, NY
NPI
1730514787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
-- KHADIJA WIESE PA-C
374 STOCKHOLM ST
BROOKLYN, NY 11237-4006
Phone number: 718-963-7272
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Mailing Address
-- KHADIJA WIESE PA-C
4845 208TH ST
BAYSIDE, NY 11364-1116
Phone number: 917-514-7877
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