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1326104506
THERESA RUSS WILSON
GREENVILLE, NC
NPI
1326104506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251K00000X Public Health or Welfare
(Licence: NC 098763)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
Mrs. THERESA RUSS WILSON RN
201 GOVERNMENT CIR
GREENVILLE, NC 27834-8198
Phone number: 252-902-2349
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Mailing Address
Mrs. THERESA RUSS WILSON RN
3105 TUCKER DR
GREENVILLE, NC 27858-6017
Phone number: 252-353-2427
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