Individual
LAURA KATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2800 D RD, GRAND JUNCTION, CO 81501-4721
(970) 255-5803
(970) 255-5805
Mailing address
2692 MAZATLAN DR, GRAND JUNCTION, CO 81506-1790
(970) 255-5803
(970) 255-5805
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
11168
CO
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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