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1205990561
SANDRA MARIE WILSON
JOHNSON CITY, TN
NPI
1205990561
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Professional Name
SANDRA MARIE WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN DH0000003997)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Mrs. SANDRA MARIE WILSON
1233 SOUTHWEST AVE
JOHNSON CITY, TN 37604-6596
Phone number: 423-979-4594
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Mailing Address
Mrs. SANDRA MARIE WILSON
119 QUAIL RUN
JOHNSON CITY, TN 37601-5308
Phone number: 423-542-5272
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