MISTY LEA WILSON

BELLE RIVE, IL
NPI1568139095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2021-08-24
Last Update Date2021-08-24
Business Address
MISTY LEA WILSON
405 S MAIN ST
BELLE RIVE, IL 62810-1228
Phone number: 618-316-1626
Mailing Address
MISTY LEA WILSON
926 E WEBSTER ST
BENTON, IL 62812-3234
Phone number: 618-316-9956
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