GEORGIA WILSON

LOWER BRULE, SD
NPI1699209775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  P011717)
Enumeration Date2017-04-17
Last Update Date2017-04-17
Business Address
Miss GEORGIA WILSON LPN
601 GALL ST.
LOWER BRULE, SD 57548
Phone number: 605-473-8243
Mailing Address
Miss GEORGIA WILSON LPN
P.O. BOX 187
LOWER BRULE, SD 57548
Phone number: 605-473-8243
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