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Individual

FALON WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1112 GROVE AVE, RACINE, WI 53405-3028
(262) 902-4429
Mailing address
1112 GROVE AVE, RACINE, WI 53405-3028
(262) 902-4429

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326245-31
WI

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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