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Individual

DAVID WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
254 TOWNSHIP ROAD 1110, PROCTORVILLE, OH 45669-8437
(304) 633-1495
Mailing address
254 TOWNSHIP ROAD 1110, PROCTORVILLE, OH 45669-8437
(304) 633-1495

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/15/2020
Last updated
04/28/2021
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