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Brian Wilson
NPI 1124407978 · on the registry since 2015
Practice
- Address
- 361 71st Ave Ste 104
Greeley, CO 80634 - Phone
- (970) 515-5025
- Fax
- (970) 515-5320
- Organisation at this address
- Livefully Llc
Unlimited Possibilities Of Colorado, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 374U00000X
- Sex
- Male
- Record last updated
- 2024-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado