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1720455660
LACEY KAY WILSON
PENDLETON, OR
NPI
1720455660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OR 201506113NPPP)
Enumeration Date
2015-08-26
Last Update Date
2024-07-01
Business Address
DR. LACEY KAY WILSON DNP
3001 ST ANTHONY WAY
PENDLETON, OR 97801
Phone number: 541-966-0535
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Mailing Address
DR. LACEY KAY WILSON DNP
2801 ST ANTHONY WAY
PENDLETON, OR 97801-3800
Phone number: 541-966-0535
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