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1336718048
ELENA WILSON
IRVINE, CA
NPI
1336718048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-077287)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
ELENA WILSON PMHNP-BC
6201 OAK CYN STE 150
IRVINE, CA 92618-5230
Phone number: 949-508-1656
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Mailing Address
ELENA WILSON PMHNP-BC
5124 PIN OAK TRL
NORTHPORT, AL 35473-1223
Phone number: 205-454-9940
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