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1720046584
PATTY J WILSON
ATLANTA, GA
NPI
1720046584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA R103701)
Enumeration Date
2006-05-02
Last Update Date
2007-07-08
Business Address
-- PATTY J WILSON CPNP
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1605
Phone number: 678-344-1960
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Mailing Address
-- PATTY J WILSON CPNP
2608 KYLAY LN
BUFORD, GA 30519-7962
Phone number: 678-546-6827
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