Individual
WILSON ANTONIO ESQUIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 1ST ST S, WILLMAR, MN 56201-4215
(320) 235-3026
Mailing address
2505 1ST ST S, WILLMAR, MN 56201-4215
(320) 235-3026
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
729131
MN
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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