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1164839031
BRETT WILSON
LOGAN, OH
NPI
1164839031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH 16225)
Enumeration Date
2014-07-12
Last Update Date
2015-01-14
Business Address
-- BRETT WILSON NP
541 STATE ROUTE 664 N SUITE C
LOGAN, OH 43138-8541
Phone number: 740-385-6594
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Mailing Address
-- BRETT WILSON NP
1049 WESTERN AVE P.O. BOX 188
CHILLICOTHE, OH 45601-1104
Phone number: 740-773-4366
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