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Individual

MARLENE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701-2443
(800) 378-5788
Mailing address
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701-2443
(800) 378-5788

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
LC014695018
MO

Other

Enumeration date
01/27/2026
Last updated
01/27/2026
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