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Individual

DR. TERRY WAYNE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
24835 LA PALMA AVE STE D, YORBA LINDA, CA 92887-5532
(714) 692-1771
(714) 692-8620
Mailing address
24835 LA PALMA AVE STE D, YORBA LINDA, CA 92887-5532
(714) 692-1771
(714) 692-8620

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
19650
CA

Other

Enumeration date
10/12/2007
Last updated
10/12/2007
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