Gregg Wilson

NPI 1043353048 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1043353048
Gender Male
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
720 WOOD ST
EUREKA CA, 95501-4413, US
Phone (707) 268-2990
Fax
Business Location
720 WOOD ST
EUREKA CA, 95501-4413, US
Phone (707) 268-2990
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Gregg Wilson NPI is 1043353048, taxonomy code is 171M00000X Gregg Wilson physically located at 720 Wood St, Eureka CA, 95501-4413. NPI Number Gregg Wilson has the Individual type.

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1043353048 NPI number is provided on an as is basis without warranty of any kind. 1043353048 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Wilson are for informational purposes only.