Lyle Keith Wilson, MMQ

NPI #1649094392 in Toledo, Oregon

Provider Information

NPI Number
1649094392
Entity Type
Individual
Name
Lyle Keith Wilson, MMQ
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MMQ
Enumeration Date
Nov 11, 2024
Last Updated
Nov 11, 2024

Practice Location

Address
1073 PIONEER MOUNTAIN LOOP
City
Toledo
State
Oregon
ZIP Code
97391-9780
Phone
(214) 546-4427

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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