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Individual

MRS. EMILY C WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1921 9TH ST, WICHITA FALLS, TX 76301-4129
(940) 687-3422
(940) 687-0726
Mailing address
2801 ELMWOOD AVE, WICHITA FALLS, TX 76308-4705
(940) 696-0292

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101247
TX

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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