Individual
DEMPSEY LEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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