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Individual

CAROL WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1805 S BELLAIRE ST STE 101, DENVER, CO 80222-4309
(720) 290-2526
Mailing address
8673 FORREST DR, HIGHLANDS RANCH, CO 80126-2923

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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