Individual
MR. GEORGE STUART WILSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
220 YANKEE RD, MONROE, OH 45050-1042
(513) 360-0689
Mailing address
178 DENEEN AVE, MONROE, OH 45050-1058
(513) 539-9396
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-362
OH
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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