JERALD EDWIN WILSON

CLINTON, NC
NPI1922146422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  029672)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
Mr. JERALD EDWIN WILSON CRNA
607 BEAMAN ST
CLINTON, NC 28328-2603
Phone number: 910-592-8511
Mailing Address
Mr. JERALD EDWIN WILSON CRNA
PO BOX 1274 4343 HWY 701 NORTH
ELIZABETHTOWN, NC 28337-1274
Phone number: 910-879-9886
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