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1073447363
JACOB WILSON
HUNTINGTON, WV
NPI
1073447363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 126589)
Enumeration Date
2026-06-11
Last Update Date
2026-06-11
Business Address
JACOB WILSON Crna
2900 1ST AVE
HUNTINGTON, WV 25702-1241
Phone number: 304-625-1234
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Mailing Address
JACOB WILSON Crna
2106 ENSLOW BLVD
HUNTINGTON, WV 25701-4916
Phone number:
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