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1912097015
WANDA EVELYN
EAST MEADOW, NY
NPI
1912097015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 405157)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- WANDA EVELYN N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-3924
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Mailing Address
-- WANDA EVELYN N.P.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-3924
Copy
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