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Individual
ABIGAIL WILSON
Active
Individual
ABIGAIL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
562785
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
305594
NY
Other
Enumeration date
04/30/2011
Last updated
06/22/2012
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