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1215473319
DEWANNA WILSON
LAWRENCEVILLE, GA
NPI
1215473319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN200756)
Enumeration Date
2017-01-12
Last Update Date
2021-05-19
Business Address
DEWANNA WILSON ARNP
1421 MOUNT WATER CT
LAWRENCEVILLE, GA 30043-6234
Phone number: 404-645-2960
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Mailing Address
DEWANNA WILSON ARNP
1421 MOUNT WATER CT
LAWRENCEVILLE, GA 30043-6234
Phone number: 404-645-2960
Copy
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