Individual
SARAH RAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
(580) 215-5767
Mailing address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
(580) 215-5767
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
07/22/2021
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