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1366551137
LISA M WILSON
WICHITA, KS
NPI
1366551137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: KS 45799)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mrs. LISA M WILSON ARNP
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-962-8580
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Mailing Address
Mrs. LISA M WILSON ARNP
109 S ONEWOOD CIR
ANDOVER, KS 67002-8851
Phone number: 316-305-1160
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