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1174093207
ANTONIA C WILSON
LAKEWOOD, WA
NPI
1174093207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN00161723)
Enumeration Date
2018-12-02
Last Update Date
2018-12-02
Business Address
ANTONIA C WILSON
12530 VINE MAPLE DR SW
LAKEWOOD, WA 98499-1134
Phone number: 253-301-0099
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Mailing Address
ANTONIA C WILSON
12530 VINE MAPLE DR SW
LAKEWOOD, WA 98499-1134
Phone number: 253-301-0099
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