Billy Ray Wilson SR.

NPI #1215684832 in Coalgate, Oklahoma

Provider Information

NPI Number
1215684832
Entity Type
Individual
Name
Billy Ray Wilson SR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Mar 3, 2022
Last Updated
Mar 3, 2022

Practice Location

Address
902 W BLAIR AVE
ZIP Code
74538-1206
Phone
(580) 927-5588

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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