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MRS. GWENDOLYN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
(205) 554-2869
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
(205) 554-2869

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-048911
AL

Other

Enumeration date
02/10/2006
Last updated
11/20/2012
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