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Individual
MELANIE MARIE WILSON
Active
Individual
MELANIE MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1162338
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-162338
AL
Other
Enumeration date
04/30/2020
Last updated
10/10/2023
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