Individual
MRS. DEBRA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
120 COMMERCIAL PKWY, BRANFORD, CT 06405-2537
(203) 483-1876
Mailing address
936 N FARMS RD, WALLINGFORD, CT 06492-1808
(860) 395-7611
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
001653
CT
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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