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Individual

SARAH ELIZABETH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
480 GALLETTI WAY BLDG 8C, SPARKS, NV 89431-5564
(775) 324-1490
Mailing address
PO BOX 17197, RENO, NV 89511-7197
(775) 790-0246

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/22/2011
Last updated
12/22/2011
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