Organization
RACHELLE WILSON, DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROBERTS (PRACTICE MANAGER)
(405) 265-2733
Entity
Organization
Contact information
Practice address
1728 PROFESSIONAL CIR, YUKON, OK 73099-6470
(405) 265-2733
(405) 265-2926
Mailing address
1728 PROFESSIONAL CIR, YUKON, OK 73099-6470
(405) 265-2733
(405) 265-2926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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