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Individual

DIANE CAROL WILCOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
108 N KERR AVE STE H1, WILMINGTON, NC 28405-3400
(910) 232-2385
Mailing address
108 N KERR AVE STE H1, WILMINGTON, NC 28405-3400
(910) 232-2385

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2207
NC

Other

Enumeration date
06/13/2021
Last updated
06/13/2021
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