Individual
TRINA LORIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1436 EXCHANGE ST, MIDDLEBURY, VT 05753-4497
(802) 388-3194
(802) 388-4881
Mailing address
PO BOX 365, MIDDLEBURY, VT 05753-0365
(802) 349-0516
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0550031008
VT
Other
Enumeration date
10/17/2006
Last updated
10/26/2010
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