Individual
SHERRY MAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6495
(918) 342-6503
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6495
(918) 342-6503
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
88740
OK
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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