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1396709804
SUSAN WILSON
MOUNT VERNON, WA
NPI
1396709804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA PA10000103)
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
-- SUSAN WILSON PA-C
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500
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Mailing Address
-- SUSAN WILSON PA-C
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500
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