Individual
GLORIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 JOHNSON LN, BARBOURVILLE, KY 40906-1321
(606) 546-5109
(606) 546-4199
Mailing address
371 KY 225, BARBOURVILLE, KY 40906-7758
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0206
KY
Other
Enumeration date
01/30/2007
Last updated
08/22/2008
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