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Individual
MANUEL WILSON
Active
Individual
MANUEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNFA, CNOR
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0001189503
VA
208600000X
Surgery Physician
0001189503
VA
Other
Enumeration date
07/30/2025
Last updated
07/21/2026
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