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1881070092
LARA BETH WAHLBERG
NEW YORK, NY
NPI
1881070092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY F307409-1)
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
-- LARA BETH WAHLBERG DNP
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-5278
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Mailing Address
-- LARA BETH WAHLBERG DNP
508 E 78TH ST APT 2-M
NEW YORK, NY 10075-8800
Phone number:
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