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1609246651
AMY MICHELLE WILSON
LOS ANGELES, CA
NPI
1609246651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003158)
Enumeration Date
2015-10-02
Last Update Date
2016-03-07
Business Address
-- AMY MICHELLE WILSON
10889 WELLWORTH AVE
LOS ANGELES, CA 90024-4918
Phone number: 866-389-2727
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Mailing Address
-- AMY MICHELLE WILSON
1140 TORINO PL
POMONA, CA 91766-1128
Phone number: 909-229-6933
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