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1477185445
KIMBERLY D WILSON
ADA, OK
NPI
1477185445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 64465)
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
KIMBERLY D WILSON LPN
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
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Mailing Address
KIMBERLY D WILSON LPN
1925 WARRIOR WAY
ADA, OK 74820-3491
Phone number: 580-436-3980
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