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1508137894
DIANA LEE WILSON
SAULT SAINTE MARIE, MI
NPI
1508137894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704195098)
Enumeration Date
2012-01-19
Last Update Date
2013-05-12
Business Address
Mrs. DIANA LEE WILSON PMHNP-BC
550 OSBORN BLVD STE 1006
SAULT SAINTE MARIE, MI 49783-1899
Phone number: 906-635-2969
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Mailing Address
Mrs. DIANA LEE WILSON PMHNP-BC
550 OSBORN BLVD STE 1006
SAULT SAINTE MARIE, MI 49783-1899
Phone number: 906-635-2969
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