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Bernice Wilson
NPI 1649458662 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4202 Buell Dr
Fort Wayne, IN 46807 - Phone
- (260) 341-4756
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-31
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana