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1700304847
ELESHA WILSON
MOUNT VERNON, IL
NPI
1700304847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043118418)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
ELESHA WILSON LPN
2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-5924
Phone number: 618-244-6544
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Mailing Address
ELESHA WILSON LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number: 618-724-2401
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