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1386753713
JOHN RIVERS WILSON
PINEVILLE, LA
NPI
1386753713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP03906)
Enumeration Date
2006-08-30
Last Update Date
2024-01-04
Business Address
Dr. JOHN RIVERS WILSON APRN
2495 SHREVEPORT HWY VAMC - ALEXANDRIA
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Dr. JOHN RIVERS WILSON APRN
PO BOX 12761
ALEXANDRIA, LA 71315-4044
Phone number: 318-473-0010
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