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Individual

JERRY PAUL WILSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(731) 414-9799
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(731) 414-9799

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0142391
VT

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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