PHYLLIS WILSON

SOMERSET, KY
NPI1346452109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: KY  KY-R2572)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Mrs. PHYLLIS WILSON OTRL
160 WILSON DR
SOMERSET, KY 42503-4595
Phone number: 606-679-5730
Mailing Address
Mrs. PHYLLIS WILSON OTRL
160 WILSON DR
SOMERSET, KY 42503-4595
Phone number: 606-679-5730