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1629074539
SHALA S WILSON
BOWLING GREEN, KY
NPI
1629074539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: KY 2263P)
Enumeration Date
2005-06-24
Last Update Date
2007-07-08
Business Address
-- SHALA S WILSON ARNP
1110 WILKINSON TRCE
BOWLING GREEN, KY 42103-3402
Phone number: 270-796-3590
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Mailing Address
-- SHALA S WILSON ARNP
809 MOORELAND DR
BOWLING GREEN, KY 42103-1596
Phone number: 270-782-6554
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