Individual
JULIE A. WILCOX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20 E STIRRUP TRL, MONUMENT, CO 80132-7704
(719) 487-8121
(719) 487-8121
Mailing address
20 E STIRRUP TRL, MONUMENT, CO 80132-7704
(719) 487-8121
(719) 487-8121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30780373
—
CO
Enumeration date
05/27/2006
Last updated
07/08/2007
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