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1811591456
GWYNNE M WILSON
COLUMBUS, OH
NPI
1811591456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.169225.MEDS-IV)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
GWYNNE M WILSON LPN
45 LAZELLE RD # R
COLUMBUS, OH 43235-1429
Phone number: 614-502-7646
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Mailing Address
GWYNNE M WILSON LPN
5051 HARBOR BLVD
COLUMBUS, OH 43232-6280
Phone number: 614-207-8826
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