Mikeya Wilson

NPI #1790020873 in Tulsa, Oklahoma

Provider Information

NPI Number: 1790020873
Entity Type: Individual
Name: Mikeya Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: Nov 30, 2012
Last Updated: Nov 30, 2012

Practice Location

Address: 5550 S GARNETT RD
Address 2: 100
City: Tulsa
State: Oklahoma
ZIP Code: 74146-6831
Phone: (918) 665-2501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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