Individual
ANDREW WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503
(580) 678-7699
Mailing address
4301 WILSON ST, FORT SILL, OK 73503
(580) 678-7699
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312222
TX
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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