TERRIES WILSON

MAGNOLIA, AR
NPI1205122348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-06-28
Last Update Date2011-06-28
Business Address
-- TERRIES WILSON
412 N VINE
MAGNOLIA, AR 71753-2842
Phone number: 870-234-7500
Mailing Address
-- TERRIES WILSON
715 N COLLEGE AVE
EL DORADO, AR 71730-4403
Phone number: 870-862-7921
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