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Individual

MRS. RAYMONA N WILBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
294 UPTOWN BLVD STE 120, CEDAR HILL, TX 75104-3537
(972) 293-6300
Mailing address
12377 MERIT DR STE 300, DALLAS, TX 75251-3126
(972) 957-3000

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
680143
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP124373
TX

Other

Enumeration date
09/24/2013
Last updated
04/08/2022
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