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1801119532
SUSAN R WILSON
EAST LANSING, MI
NPI
1801119532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704149259)
Enumeration Date
2010-03-09
Last Update Date
2016-06-08
Business Address
SUSAN R WILSON N.P.
463 E CIRCLE DR
EAST LANSING, MI 48824-7500
Phone number: 517-884-6546
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Mailing Address
SUSAN R WILSON N.P.
804 SERVICE RD A201
EAST LANSING, MI 48824-7015
Phone number: 517-884-2976
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