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1841311446
LISA L WILDER
COOKEVILLE, TN
NPI
1841311446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 12727)
Enumeration Date
2007-04-02
Last Update Date
2014-02-26
Business Address
-- LISA L WILDER N.P.
135 WEST 3RD STREET
COOKEVILLE, TN 38503-0938
Phone number: 931-526-2488
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Mailing Address
-- LISA L WILDER N.P.
135 WEST 3RD STREET
COOKEVILLE, TN 38503-0938
Phone number: 931-526-2488
Copy
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