Individual
JON RANDOLPH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
225 CONCORD ST, PETERBOROUGH, NH 03458-1207
(603) 933-1577
Mailing address
225 CONCORD ST, PETERBOROUGH, NH 03458-1207
(603) 933-1577
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
310
NH
171100000X
Acupuncturist
ACU-1257
HI
Other
Enumeration date
08/01/2019
Last updated
01/03/2022
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