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Individual

MISS SHEKEMBA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NUSRING AIDE

Contact information

Practice address
2819 MISTY WATERS DR APT 10, DECATUR, GA 30032-6632
(404) 290-1236
Mailing address
2819 MISTY WATERS DR APT 10, DECATUR, GA 30032-6632
(404) 290-1236

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028838244
GA

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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