Individual
LILLIAN JUNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 W WESMARK BLVD, SUMTER, SC 29150-1987
(803) 905-8047
(803) 905-8025
Mailing address
385 W WESMARK BLVD, SUMTER, SC 29150-1987
(803) 905-8047
(803) 905-8025
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
797
SC
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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