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Individual

MR. WILSON DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
95 PLEASANT ST, ELIOT COMMUNITY, LYNN, MA 01901-1524
(978) 000-0000
Mailing address
95 PLEASANT ST, ELIOT COMMUNITY, LYNN, MA 01901-1524

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2281202
MA

Other

Enumeration date
09/16/2015
Last updated
09/21/2016
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