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1821588989
CORRIE WILSON
FAIRBANKS, AK
NPI
1821588989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AK 128479)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
CORRIE WILSON FNP-BC
1025 BARNETTE STREET
FAIRBANKS, AK 99701
Phone number: 907-452-1776
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Mailing Address
CORRIE WILSON FNP-BC
PO BOX 56257
NORTH POLE, AK 99705-1257
Phone number:
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