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Individual

CHEYENNE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2250 POSTAL DR STE 4, PAHRUMP, NV 89048-4798
(775) 727-8900
Mailing address
2250 POSTAL DR STE 4, PAHRUMP, NV 89048-4798

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0980
NV

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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