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1093043168
EMILY DANIELLE WILSON
MOUNTAIN HOME, TN
NPI
1093043168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN 14272)
Enumeration Date
2009-11-30
Last Update Date
2009-11-30
Business Address
-- EMILY DANIELLE WILSON
CORNER OF SYDNEY AND LAMONT ATTN: EXTENDED CARE
MOUNTAIN HOME, TN 37684
Phone number: 423-926-1171
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Mailing Address
-- EMILY DANIELLE WILSON
101 DREWTANNER LN
JOHNSON CITY, TN 37604-6081
Phone number: 423-794-7064
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