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Mary Wilson
NPI 1831569755 · on the registry since 2015 · sole proprietor
Practice
- Address
- 915 Avenue B
Nederland, TX 77627 - Phone
- (228) 365-5539
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-05
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