Individual
MRS. SARAH JON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
PO BOX 407, NANCY, KY 42544-0407
(606) 219-7908
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
KY
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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