KATIE WILSON

DANVILLE, IL
NPI1073031100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209.016522)
Enumeration Date2017-09-08
Last Update Date2019-03-05
Business Address
KATIE WILSON AGACNP-BC
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-4364
Mailing Address
KATIE WILSON AGACNP-BC
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-4364
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