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Cori Wilson

NPI 1295368868 · on the registry since 2020 · sole proprietor

Practice

Address
2402 E 30th St
Lubbock, TX 79404
Phone
(806) 224-3059

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-21

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 Texas