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1093869380
MARY MICHELLE WILSON
SIOUX CITY, IA
NPI
1093869380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A-099445)
Enumeration Date
2007-01-23
Last Update Date
2011-09-29
Business Address
-- MARY MICHELLE WILSON MSN, ARNP, FNP-BC
1021 NEBRASKA ST
SIOUX CITY, IA 51104-5410
Phone number: 712-252-2247
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Mailing Address
-- MARY MICHELLE WILSON MSN, ARNP, FNP-BC
1021 NEBRASKA ST
SIOUX CITY, IA 51104-5410
Phone number: 712-252-2247
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