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1841664042
AMY WILSON
CARBONDALE, IL
NPI
1841664042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AK 105739)
Enumeration Date
2015-11-25
Last Update Date
2015-11-25
Business Address
-- AMY WILSON
2906 W MURPHYSBORO RD
CARBONDALE, IL 62901-1060
Phone number: 314-642-1037
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Mailing Address
-- AMY WILSON
2906 W MURPHYSBORO RD
CARBONDALE, IL 62901-1060
Phone number: 314-642-1037
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