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Individual

DAVID EDWARD WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-8181
Mailing address
42 ALPINE DR, FORT THOMAS, KY 41075-2402
(859) 462-2058

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027256
OH

Other

Enumeration date
11/24/2020
Last updated
11/24/2020
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