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Individual

KAITLIN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
307 N ADAMS ST, CABOT, AR 72023-2658
(501) 288-3214
Mailing address
307 N ADAMS ST, CABOT, AR 72023-2658
(501) 288-3214

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7259
AR

Other

Enumeration date
11/05/2019
Last updated
11/05/2019
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