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Individual

CLAUDE WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1850 N CENTRAL AVE STE 1600, PHOENIX, AZ 85004-4633
(602) 528-6996
Mailing address
1850 N CENTRAL AVE STE 1600, PHOENIX, AZ 85004-4633
(602) 528-6996

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN000099200
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN000099200
RN LICENSE
AZ
Enumeration date
09/13/2017
Last updated
07/21/2022
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