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Individual

AMANDA MARIE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4013 NW EXPRESSWAY STE 105, OKLAHOMA CITY, OK 73116-2618
(405) 676-8470
(405) 676-5802
Mailing address
4013 NW EXPRESSWAY STE 105, OKLAHOMA CITY, OK 73116-2618
(405) 676-8470
(405) 676-5802

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0057189
OK

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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