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Individual

MR. ANGELIA LYNETTA WILSON-ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4323 EAGLE ROCK BLVD, APT 423, LOS ANGELES, CA 90041-3291
(323) 219-4936
(123) 456-7890
Mailing address
4323 EAGLE ROCK BLVD, APT 423, LOS ANGELES, CA 90041-3291
(323) 219-4936
(123) 456-7890

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
144341
GA
163WE0003X
Emergency Registered Nurse
Primary
595911
CA
163WE0003X
Emergency Registered Nurse
765282
TX

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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