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Individual

MS. DELLITT WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
727 W 750 S, SPRINGVILLE, UT 84663-5641
(801) 616-3546

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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