Individual
LILLIAN JOSETTE WILSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
701 E WILL ROGERS BLVD, CLAREMORE, OK 74017-8431
(918) 923-2142
Mailing address
701 E WILL ROGERS BLVD, CLAREMORE, OK 74017-8431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4436
OK
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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