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Individual

SUE A WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
928 FRENCH RD, CHEEKTOWAGA, NY 14227-3632
(716) 668-8021
(716) 668-8022
Mailing address
3 SHERWOOD CT, WEST SENECA, NY 14224-3108
(716) 870-1433
(716) 668-8022

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024993-1
NY

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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