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Individual
ZACHARY WILDER
Active
Individual
ZACHARY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013819
IL
2255A2300X
Athletic Trainer
2018037623
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
05/06/2022
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