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Individual

MICHELLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
4972 BENCHMARK CENTRE DR STE 100, SWANSEA, IL 62226-2070
(618) 207-4366
(618) 744-7301
Mailing address
4972 BENCHMARK CENTRE DR STE 100, SWANSEA, IL 62226-2070
(618) 207-4366
(618) 744-7301

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/25/2020
Last updated
04/25/2020
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