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1669838496
DORTHIA D WILSON
KENOSHA, WI
NPI
1669838496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 6647)
Enumeration Date
2016-01-09
Last Update Date
2021-11-23
Business Address
DORTHIA D WILSON NP
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-7000
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Mailing Address
DORTHIA D WILSON NP
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 262-948-7000
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