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1346452109
PHYLLIS WILSON
SOMERSET, KY
NPI
1346452109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: KY KY-R2572)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Mrs. PHYLLIS WILSON OTRL
160 WILSON DR
SOMERSET, KY 42503-4595
Phone number: 606-679-5730
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Mailing Address
Mrs. PHYLLIS WILSON OTRL
160 WILSON DR
SOMERSET, KY 42503-4595
Phone number: 606-679-5730
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