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1174891220
AMANDA SHEW WILSON
CONCORD, NC
NPI
1174891220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 166768)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
-- AMANDA SHEW WILSON RN
284 EXECUTIVE PARK DRIVE SUITE 100
CONCORD, NC 28025-1894
Phone number: 704-939-1100
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Mailing Address
-- AMANDA SHEW WILSON RN
221 W MAIN ST
JEFFERSON, NC 28640-9723
Phone number: 704-939-1100
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