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Individual
MRS. JANE MARIE WILSON
Active
Individual
MRS. JANE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,RD,CDE,CSR
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
163W00000X
Registered Nurse
0001088548
VA
163WD0400X
Diabetes Educator Registered Nurse
0001088548
VA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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