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1962593319
DORA G WILSON
SPRINGFIELD, IL
NPI
1962593319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209-000263)
Enumeration Date
2006-09-28
Last Update Date
2009-02-04
Business Address
-- DORA G WILSON C.R.N.A.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
-- DORA G WILSON C.R.N.A.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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