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1396396693
PHYLLIS NEWSOME WILSON
CHARLOTTE, NC
NPI
1396396693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
Mrs. PHYLLIS NEWSOME WILSON
8423 EMPRESS CT
CHARLOTTE, NC 28227
Phone number: 980-254-1778
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Mailing Address
Mrs. PHYLLIS NEWSOME WILSON
8423 EMPRESS CT
CHARLOTTE, NC 28227-3624
Phone number: 980-254-1778
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