LISA L WILDER

COOKEVILLE, TN
NPI1841311446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  12727)
Enumeration Date2007-04-02
Last Update Date2014-02-26
Business Address
-- LISA L WILDER N.P.
135 WEST 3RD STREET
COOKEVILLE, TN 38503-0938
Phone number: 931-526-2488
Mailing Address
-- LISA L WILDER N.P.
135 WEST 3RD STREET
COOKEVILLE, TN 38503-0938
Phone number: 931-526-2488
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