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Individual
SETH M WILSON
Active
Individual
SETH M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
15924
AR
111N00000X
Chiropractor
Primary
2011013813
MO
171100000X
Acupuncturist
15924
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15924
LICENSE
AR
01
—
1801872304
GROUP NPI
AR
01
—
2011013813
LICENSE
MO
Enumeration date
12/02/2011
Last updated
10/10/2019
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