Tara Marie Wilson

NPI 1033446877 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1033446877
Gender Female
Enumeration Date 11/16/2009
Last Updated 11/16/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
7777 E US HIGHWAY 66
EL RENO OK, 73036-9125, US
Phone (405) 422-8800
Business Location
BLANCHARD OK, 73010-5518, US
Phone (405) 420-9172
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Tara Marie Wilson NPI is 1033446877, taxonomy code is 171M00000X Tara Marie Wilson physically located at 7777 E Us Highway 66, El Reno OK, 73036-9125. NPI Number Tara Marie Wilson has the Individual type.

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1033446877 NPI number is provided on an as is basis without warranty of any kind. 1033446877 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Marie Wilson are for informational purposes only.