SHANE WILSON

PICKERINGTON, OH
NPI1053129007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-12-23
Last Update Date2024-12-23
Business Address
SHANE WILSON
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147-8235
Phone number: 614-729-6900
Mailing Address
SHANE WILSON
1098 CAMBRIDGE RD
COSHOCTON, OH 43812-2703
Phone number: 740-552-0375
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