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Individual

DANYALLE ALTMAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 MCDANIEL AVE, PICKENS, SC 29671-2527
(864) 898-5965
Mailing address
418 DUVALL ST, EASLEY, SC 29640-2163
(864) 508-1184

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
SC038729
SC

Other

Enumeration date
04/27/2021
Last updated
04/27/2021
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