Darra Magan Wilson

NPI 1124329545 - Day Training/Habilitation Specialist - 373H00000X

NPI Details
NPI 1124329545
Gender Female
Enumeration Date 11/17/2010
Last Updated 11/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1005 BALCOM LN
TRUMANN AR, 72472-9502, US
Phone (870) 483-1461
Fax (870) 483-6520
Business Location
1005 BALCOM LN
TRUMANN AR, 72472-9502, US
Phone (870) 483-1461
Fax (870) 483-6520
Toxanomy
Taxonomy Code 373H00000X
License State
License Number
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According to our database, Darra Magan Wilson NPI is 1124329545, taxonomy code is 373H00000X Darra Magan Wilson physically located at 1005 Balcom Ln, Trumann AR, 72472-9502. NPI Number Darra Magan Wilson has the Individual type.

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1124329545 NPI number is provided on an as is basis without warranty of any kind. 1124329545 is maintained by the National Plan & Provider Enumeration System. The contents of Darra Magan Wilson are for informational purposes only.