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1275600702
ELLA NORA WILSON
BELLEVILLE, IL
NPI
1275600702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-006175)
Enumeration Date
2006-11-29
Last Update Date
2013-08-02
Business Address
Mrs. ELLA NORA WILSON FNP
12 N 64TH ST
BELLEVILLE, IL 62223-3809
Phone number: 618-877-4420
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Mailing Address
Mrs. ELLA NORA WILSON FNP
706 E BRIDGEPORT ST
OKAWVILLE, IL 62271-1156
Phone number: 618-314-2696
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