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Individual

MRS. JERI ANN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
207 S LIMESTONE ST, GAFFNEY, SC 29340-3013
(864) 921-3593
Mailing address
207 S LIMESTONE ST, GAFFNEY, SC 29340-3013
(864) 921-3593

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
111198
SC

Other

Enumeration date
12/14/2012
Last updated
12/14/2012
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