LACY W WILSON

CLARKSVILLE, TN
NPI1144567108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: TN  3095)
Enumeration Date2013-01-10
Last Update Date2013-01-10
Business Address
Ms. LACY W WILSON R.D.H.
1815 HAYNES ST
CLARKSVILLE, TN 37043-4548
Phone number: 931-553-6959
Mailing Address
Ms. LACY W WILSON R.D.H.
1815 HAYNES ST
CLARKSVILLE, TN 37043-4548
Phone number: 931-553-6959
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