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Individual

LOU ANN EASON WILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADN

Contact information

Practice address
PO BOX 188, FARMVILLE, NC 27828-0188
(252) 787-5990
(252) 787-5991
Mailing address
PO BOX 188, FARMVILLE, NC 27828-0188
(252) 787-5990
(252) 787-5991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77557
NC

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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