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1033938550
DAMEKA RUNISE WILSON-VICKERS
VALDOSTA, GA
NPI
1033938550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: GA 332253)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
DAMEKA RUNISE WILSON-VICKERS CNM
3312 N OAK ST
VALDOSTA, GA 31605-1065
Phone number: 229-433-8526
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Mailing Address
DAMEKA RUNISE WILSON-VICKERS CNM
2745 TYNDALL DR
VALDOSTA, GA 31602-1568
Phone number: 229-237-7627
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