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Individual

HEATHER MICHELLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPP LIFESTYLE COACH

Contact information

Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 460-2411
(870) 460-3597
Mailing address
626 HIGHWAY 172, WILMAR, AR 71675-8915
(870) 308-1037

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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