Individual
MORGAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26325 N BABBLING BROOK DR, PHOENIX, AZ 85083-6327
(405) 408-6745
Mailing address
1608 RED BUD LN, MCALESTER, OK 74501-7063
(405) 408-6745
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1421
OK
Other
Enumeration date
07/11/2007
Last updated
07/31/2007
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