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Individual

SONYA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3218 GLENMORE DR, HOPE MILLS, NC 28348-1701
(910) 644-8184
Mailing address
3218 GLENMORE DR, HOPE MILLS, NC 28348-1701

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
26NB00917200
NJ
376K00000X
Nurse's Aide
Primary
192221
NC
376K00000X
Nurse's Aide
NA503774
NJ

Other

Enumeration date
08/26/2014
Last updated
08/26/2014
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