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Individual
JAMIE C WILSON
Active
Individual
JAMIE C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
204633
AZ
163WM0705X
Medical-Surgical Registered Nurse
204633
AZ
163WW0101X
Ambulatory Women's Health Care Registered Nurse
204633
AZ
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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