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1629262936
VIRGINIA WILSON
FAYETTEVILLE, GA
NPI
1629262936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN065217 NP)
Enumeration Date
2007-08-29
Last Update Date
2015-04-06
Business Address
-- VIRGINIA WILSON
480 GLYNN ST N
FAYETTEVILLE, GA 30214-1192
Phone number: 866-389-2727
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Mailing Address
-- VIRGINIA WILSON
480 GLYNN ST N
FAYETTEVILLE, GA 30214-1192
Phone number: 866-389-2727
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