Shae Wilson

NPI #1972357382 in Glasgow, Kentucky

Provider Information

NPI Number: 1972357382
Entity Type: Individual
Name: Shae Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Apr 12, 2024
Last Updated: Jul 8, 2024

Practice Location

Address: 1407 N RACE ST
City: Glasgow
State: Kentucky
ZIP Code: 42141-3490
Phone: (270) 651-6652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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