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Organization
ELLY WILSON
Active
Organization
ELLY WILSON
Active
Other names
Elly Wilson
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WILSON RD (DIETITIAN)
(614) 304-1857
Entity
Organization
Contact information
Practice address
937 S 3RD ST APT A, COLUMBUS, OH 43206-2542
(614) 304-1857
Mailing address
937 S 3RD ST APT A, COLUMBUS, OH 43206-2542
(419) 206-9531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942836556
NPI
OH
Enumeration date
05/06/2021
Last updated
05/06/2021
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