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Individual

MARC WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2022 E 16TH ST, WELLINGTON, KS 67152-8151
(620) 326-3321
Mailing address
2022 E 16TH ST, WELLINGTON, KS 67152-8151

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14432
KS
183500000X
Pharmacist
2007025595
MO

Other

Enumeration date
10/14/2015
Last updated
10/14/2015
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