Individual
AARON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 NW 10TH ST, OKLAHOMA CITY, OK 73103-3902
(405) 627-3371
Mailing address
5729 NW 82ND ST, OKLAHOMA CITY, OK 73132-4909
(405) 920-9310
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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