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Individual

MARY KATHRYN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
601 PROVIDENCE PARK DR E, MOBILE, AL 36695-4617
(251) 650-2020
(251) 650-1010
Mailing address
601 PROVIDENCE PARK DR E, MOBILE, AL 36695-4617
(251) 650-2020
(251) 650-1010

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
R-304-TA-C25
AL

Other

Enumeration date
07/18/2012
Last updated
02/01/2023
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