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Individual

MRS. SUE WILKER OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
208 W FORT WILLIAM, SYLACAUGA, AL 35150
(256) 249-0943
(256) 249-0943
Mailing address
208 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 249-0943
(256) 249-0943

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1024118
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891001550
AL
Enumeration date
01/05/2006
Last updated
06/11/2015
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