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Individual

MS. SUNDAY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8607
(806) 775-8611
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 472-3400

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
RN648049
TX
363L00000X
Nurse Practitioner
Primary
AP113755
TX

Other

Enumeration date
08/09/2006
Last updated
12/02/2021
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