Individual
DEVYN JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
144 YAGER STADIUM, OXFORD, OH 45056
(567) 208-9807
Mailing address
PO BOX 276, MC COMB, OH 45858-0276
(567) 208-9807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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