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Individual

GAY LEE WILHELM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
5508 RYE COURT, ROCKLIN, CA 95765
(916) 435-0701
Mailing address
5508 RYE COURT, ROCKLIN, CA 95765
(916) 435-0701

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
364691
CA

Other

Enumeration date
06/08/2012
Last updated
06/08/2012
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