Laci Nicole Wilson

NPI #1528548518 in Yukon, Oklahoma

Provider Information

NPI Number
1528548518
Entity Type
Individual
Name
Laci Nicole Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 19, 2018
Last Updated
Aug 19, 2018

Practice Location

Address
9104 ARMAN DR
City
Yukon
ZIP Code
73099-5264
Phone
(580) 216-5224

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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