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1861963035
ANGEL WILSON
LAKE CHARLES, LA
NPI
1861963035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 343564)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
ANGEL WILSON
3440 SKIPPER ST
LAKE CHARLES, LA 70607-7599
Phone number: 713-799-2200
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Mailing Address
ANGEL WILSON
3440 SKIPPER ST
LAKE CHARLES, LA 70607-7599
Phone number: 713-799-2200
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