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1134834393
LEWIS WILSON
NEW CARROLLTON, MD
NPI
1134834393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R169763)
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
Mr. LEWIS WILSON CRNP-PMH
8306 LARCHWOOD ST
NEW CARROLLTON, MD 20784-3409
Phone number: 301-741-2232
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Mailing Address
Mr. LEWIS WILSON CRNP-PMH
8306 LARCHWOOD ST
NEW CARROLLTON, MD 20784-3409
Phone number: 301-741-2232
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