DAMARIUN WILSON

FORT CAMPBELL, KY
NPI1689221665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2019-08-23
Last Update Date2019-08-23
Business Address
DAMARIUN WILSON
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
Mailing Address
DAMARIUN WILSON
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751