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1295101269
LAHOMA L WILSON
CHARLESTON, WV
NPI
1295101269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV APRN77491-NP)
Enumeration Date
2015-08-13
Last Update Date
2019-06-07
Business Address
LAHOMA L WILSON APRN-CNP
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5848
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Mailing Address
LAHOMA L WILSON APRN-CNP
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560-9815
Phone number: 304-757-6999
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