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1235629130
JANICE LYNN WILSON
ROGERS, AR
NPI
1235629130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005643)
Enumeration Date
2018-05-16
Last Update Date
2019-04-02
Business Address
JANICE LYNN WILSON
2012 S PROMENADE BLVD
ROGERS, AR 72758
Phone number: 479-616-1485
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Mailing Address
JANICE LYNN WILSON
2012 S PROMENADE BLVD
ROGERS, AR 72758-9073
Phone number: 479-616-1485
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