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1124706973
SUSANNAH ALYSE WILSON
BATON ROUGE, LA
NPI
1124706973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: LA 229744)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
SUSANNAH ALYSE WILSON NP
8585 PICARDY AVE
BATON ROUGE, LA 70809-3748
Phone number: 956-299-3727
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Mailing Address
SUSANNAH ALYSE WILSON NP
124 JEANSONNE ST
PINEVILLE, LA 71360-5060
Phone number: 318-729-0501
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