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1770048084
CASEY RENEE WILSON
EL DORADO, AR
NPI
1770048084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A006064)
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
Mrs. CASEY RENEE WILSON APRN
209 THOMPSON AVE # 2
EL DORADO, AR 71730-5755
Phone number: 870-864-0333
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Mailing Address
Mrs. CASEY RENEE WILSON APRN
209 THOMPSON AVE # 2
EL DORADO, AR 71730-5755
Phone number: 870-864-0333
Copy
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