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Individual
WENDELL TRUMAN NILSON
Active
Individual
WENDELL TRUMAN NILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
167758-1205
UT
363LP0200X
Pediatric Nurse Practitioner
204952-4405
UT
Other
Enumeration date
05/30/2006
Last updated
02/16/2021
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