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Individual

BRITTANY WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
645 PINE ST, WAUSEON, OH 43567-1812
(567) 454-7247
Mailing address
645 PINE ST, WAUSEON, OH 43567-1812

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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