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Individual

AIDAN (CHASE) LUCAS ANDREWS WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NRP, FP-C, CCP-C

Contact information

Practice address
1000 CAROMONT PKWY, BELMONT, NC 28012-0140
(925) 583-4255
Mailing address
1000 CAROMONT PKWY, BELMONT, NC 28012-0140

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P565273
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14302
IBSC
01
15149
IBSC
01
7433-7572-3140
NREMT
Enumeration date
03/25/2026
Last updated
03/25/2026
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