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Individual

DEBORAH LYNN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
47 EAST MAIN ST., SUITE 202, BUCKHANN, WV 26201
(304) 471-7777
(304) 457-3978
Mailing address
PO BOX 2296, BUCKHANNON, WV 26201-7296
(304) 471-7777
(304) 457-3978

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2002-0042
WV

Other

Enumeration date
03/13/2019
Last updated
03/13/2019
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