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1427489665
KEISHA WILSON
COLUMBUS, GA
NPI
1427489665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: GA 056237329)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
-- KEISHA WILSON
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
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Mailing Address
-- KEISHA WILSON
2401 BUENA VISTA RD
COLUMBUS, GA 31906-3142
Phone number: 706-323-7244
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