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Individual

JULIE CRYSTAL WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18206 CORY RD, LORANGER, LA 70446-2712
(985) 320-7214
Mailing address
18206 CORY RD, LORANGER, LA 70446-2712
(985) 320-7214

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3562
LA

Other

Enumeration date
03/28/2010
Last updated
03/28/2010
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