Dwayne Norton Wilson
NPI #1215539523 in Bishop, California
Provider Information
- NPI Number
- 1215539523
- Entity Type
- Individual
- Name
- Dwayne Norton Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 11, 2020
- Last Updated
- Nov 11, 2020
Practice Location
- Address
- 644 W LINE ST
- City
- Bishop
- State
- California
- ZIP Code
- 93514-3315
- Phone
- (760) 872-2522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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