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1720268493
TYRONE NATHANIEL WILSON
COLUMBIA, SC
NPI
1720268493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 34333)
Enumeration Date
2007-11-09
Last Update Date
2007-11-09
Business Address
-- TYRONE NATHANIEL WILSON BSN., LPN
16 SUMMER VALE CT
COLUMBIA, SC 29223-7861
Phone number: 803-331-8518
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Mailing Address
-- TYRONE NATHANIEL WILSON BSN., LPN
16 SUMMER VALE CT
COLUMBIA, SC 29223-7861
Phone number: 803-331-8518
Copy
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