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Individual

MICHAEL M WILKINSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 949-9114
(601) 914-1858
Mailing address
202 WILLOW OAKS DR, CLINTON, MS 39056-9417

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0004
MS

Other

Enumeration date
11/10/2005
Last updated
07/08/2007
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