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1346624459
SCOTT E WILSON
WHITE CITY, OR
NPI
1346624459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OR 201603114)
Enumeration Date
2015-07-17
Last Update Date
2024-02-08
Business Address
SCOTT E WILSON F.N.P
2841 AVENUE G STE 100
WHITE CITY, OR 97503-3030
Phone number: 541-826-5252
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Mailing Address
SCOTT E WILSON F.N.P
22825 E BARNETT RD
MEDFORD, OR 97504-4004
Phone number:
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