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1174683205
MICHELLE ROSS WILSON
PADUCAH, KY
NPI
1174683205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: KY 3003898)
Enumeration Date
2006-12-11
Last Update Date
2024-02-07
Business Address
MICHELLE ROSS WILSON APRN
2200 WASHINGTON ST
PADUCAH, KY 42003-3256
Phone number: 870-347-2534
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Mailing Address
MICHELLE ROSS WILSON APRN
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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