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Individual

MRS. KAREN JEAN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3050 REGENT BLVD, SUITE 200, IRVING, TX 75063-3196
(214) 689-8079
(877) 457-3988
Mailing address
201 NORMAN DAVIS DR, TOANO, VA 23168-9335
(757) 566-3569
(757) 566-3569

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024050712
VA

Other

Enumeration date
10/29/2014
Last updated
10/29/2014
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