Individual
JASON ALAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 6TH AVE SE TRLRB3, MANDAN, ND 58554
(701) 390-2564
Mailing address
703 6TH AVE SE TRLRB3, MANDAN, ND 58554
(701) 390-2564
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
ND
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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