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1821216540
JAMIE WISE
OCEANSIDE, NY
NPI
1821216540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011159)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Miss JAMIE WISE PA-C
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 516-632-3418
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Mailing Address
Miss JAMIE WISE PA-C
2100 NORTH DR
SEAFORD, NY 11783-2235
Phone number: 516-783-5714
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