Individual
MISS ERICA LYNDSAY WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
118 FIELDHOUSE ALL AMERICAN DRIVE, UNIVERSITY, MS 38677
(662) 915-7536
(662) 915-5275
Mailing address
200 EMILEE LN, OXFORD, MS 38655-7802
(337) 302-9756
(662) 915-5275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0394
MS
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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