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1336515907
JER'DONNA DOWNESHA WILSON
PRATTVILLE, AL
NPI
1336515907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-132303)
Enumeration Date
2015-08-18
Last Update Date
2017-04-04
Business Address
-- JER'DONNA DOWNESHA WILSON CRNP
1965 COBBS FORD RD
PRATTVILLE, AL 36066-7290
Phone number: 334-323-1330
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Mailing Address
-- JER'DONNA DOWNESHA WILSON CRNP
921 CRUZ CT
MONTGOMERY, AL 36110-3236
Phone number: 334-202-3505
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