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Individual

DENISE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1330 N 3RD ST, LANGLEY, OK 74350
(918) 782-3180
Mailing address
PO BOX 442, LANGLEY, OK 74350-0442
(918) 260-5422

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0043001
OK
171M00000X
Case Manager/Care Coordinator
OK

Other

Enumeration date
04/04/2007
Last updated
10/27/2025
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