Tracie E Wilson

NPI #1073757530 in Greensburg, Indiana

Provider Information

NPI Number: 1073757530
Entity Type: Individual
Name: Tracie E Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 3198 W COUNTY ROAD 500 N
City: Greensburg
State: Indiana
ZIP Code: 47240-9757
Phone: (812) 593-5485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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