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1760631592
THERESA WILSON
SAN CLEMENTE, CA
NPI
1760631592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 8242)
Enumeration Date
2008-09-17
Last Update Date
2017-09-12
Business Address
-- THERESA WILSON
638 CAMINO DE LOS MARES STE D MINUTE CLINIC 8882
SAN CLEMENTE, CA 92673
Phone number: 866-389-2727
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Mailing Address
-- THERESA WILSON
1 CVS DR ATTEN: MINUTECLINIC CREDENTIALING-2100
WOONSOCKET, RI 02895
Phone number: 612-225-1512
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