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Individual

DEBRA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9525 GOLD HILL RD, SHAWNEETOWN, IL 62984-3659
(618) 269-3815
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-1684

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041372066
IL

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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