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1952371908
KAYANN WILSON
BRONX, NY
NPI
1952371908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 303712)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
-- KAYANN WILSON
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-7738
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Mailing Address
-- KAYANN WILSON
19 GETTYSBURG RD
SOUTHBURY, CT 06488-3018
Phone number:
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