Individual
PAMELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 N MAIN ST, DECATUR, IL 62526-3291
(217) 876-9902
Mailing address
2980 N MAIN ST, DECATUR, IL 62526-3291
(217) 876-9902
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3017
IL
Other
Enumeration date
11/22/2013
Last updated
08/04/2016
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