Individual
HOLLY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
221 S. 6TH ST., IRONTON, OH 45638
(740) 533-0550
(740) 534-1111
Mailing address
5153 CO. RD. 16, PEDRO, OH 45659
(740) 643-2396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16010
OH
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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