TYRONE NATHANIEL WILSON

COLUMBIA, SC
NPI1720268493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  34333)
Enumeration Date2007-11-09
Last Update Date2007-11-09
Business Address
TYRONE NATHANIEL WILSON BSN., LPN
16 SUMMER VALE CT
COLUMBIA, SC 29223-7861
Phone number: 803-331-8518
Mailing Address
TYRONE NATHANIEL WILSON BSN., LPN
16 SUMMER VALE CT
COLUMBIA, SC 29223-7861
Phone number: 803-331-8518
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