MISS Georgia Wilson, LPN
NPI #1699209775 in Lower Brule, South Dakota
Provider Information
- NPI Number
- 1699209775
- Entity Type
- Individual
- Name
- MISS Georgia Wilson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 17, 2017
- Last Updated
- Apr 17, 2017
Practice Location
- Address
- 601 GALL ST.
- City
- Lower Brule
- State
- South Dakota
- ZIP Code
- 57548
- Phone
- (605) 473-8243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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