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1801130489
THOMAS L WILSON
STATEN ISLAND, NY
NPI
1801130489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: NY 579666)
Enumeration Date
2012-11-20
Last Update Date
2012-11-21
Business Address
Mr. THOMAS L WILSON RN
255 GORDON ST
STATEN ISLAND, NY 10304-1943
Phone number: 888-554-3810
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Mailing Address
Mr. THOMAS L WILSON RN
30 DANIEL LOW TER APT 4K
STATEN ISLAND, NY 10301-1740
Phone number: 888-554-3810
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