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Individual

JUSTIN O WILSON

Active
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Individual

JUSTIN O WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1077
WI
231H00000X
Audiologist
394
IA
237700000X
Hearing Instrument Specialist
754
IA

Other

Enumeration date
10/26/2005
Last updated
07/21/2022
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