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Individual

MS. REBECCA LEIGH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
22187 STATE HIGHWAY 6, DEERWOOD, MN 56444-6279
(218) 851-1812
(612) 235-3391
Mailing address
22187 STATE HIGHWAY 6, DEERWOOD, MN 56444-6279
(218) 851-1812
(612) 235-3391

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6525
MN

Other

Enumeration date
03/27/2007
Last updated
07/09/2007
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