LISA RUTH WILSON

WASHINGTON, MO
NPI1710307889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2014010130)
Enumeration Date2014-04-16
Last Update Date2014-04-16
Business Address
-- LISA RUTH WILSON AGNP
324 W 5TH ST
WASHINGTON, MO 63090-2306
Phone number: 636-795-0342
Mailing Address
-- LISA RUTH WILSON AGNP
24776 STATE HIGHWAY EE
WARRENTON, MO 63383-5883
Phone number: 636-795-0342
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