Individual
JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6958 NEBRASKA AVE BLDG 1608, FORT LEONARD WOOD, MO 65473-1618
(573) 596-9877
Mailing address
6958 NEBRASKA AVE BLDG 1608, FORT LEONARD WOOD, MO 65473-1618
(573) 596-9877
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
1620605
CO
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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