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1487023495
PORCIAL WASHINGTON WILSON
WINSTON SALEM, NC
NPI
1487023495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5007965)
Enumeration Date
2015-09-20
Last Update Date
2015-09-20
Business Address
-- PORCIAL WASHINGTON WILSON NP
755 HIGHLAND OAKS DR STE 202
WINSTON SALEM, NC 27103-7106
Phone number: 336-760-0070
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Mailing Address
-- PORCIAL WASHINGTON WILSON NP
400 ALLISON AVE
WINSTON SALEM, NC 27105-3324
Phone number:
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