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Individual

KATIE WILBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
55 ROUTE 130, FORESTDALE, MA 02644-1434
(508) 477-5306
Mailing address
55 ROUTE 130, FORESTDALE, MA 02644-1434
(508) 477-5306

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2281537
MA

Other

Enumeration date
06/17/2019
Last updated
12/27/2019
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