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1790714012
ELLEN WICKS DAVIS
EAST MEADOW, NY
NPI
1790714012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F330299)
Enumeration Date
2006-06-30
Last Update Date
2008-04-10
Business Address
-- ELLEN WICKS DAVIS N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6254
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Mailing Address
-- ELLEN WICKS DAVIS N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6254
Copy
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