Individual
DEBORAH LYNNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
11 GATE WAY BLVD, SAVANNAH, GA 31419-2131
(912) 210-9558
Mailing address
11 GATEWAY BLVD S, SAVANNAH, GA 31419-9782
(912) 210-9558
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
14882
HI
Other
Enumeration date
11/12/2016
Last updated
09/14/2023
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