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Individual

CAMBIE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10464 ROCHESTER COZADDALE RD, GOSHEN, OH 45122-9620
(937) 416-6114
Mailing address
10464 ROCHESTER COZADDALE RD, GOSHEN, OH 45122-9620
(937) 416-6114

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.123653-M-IV
OH

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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