Individual
DEBRA WILDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9305 KINGSTON PIKE, KNOXVILLE, TN 37922-2648
(865) 691-1923
Mailing address
10324 MANTOOTH LN, KNOXVILLE, TN 37932-2648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10506
TN
Other
Enumeration date
03/08/2011
Last updated
03/14/2011
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