GLENN WILSON

HOLLOMAN AFB, NM
NPI1720401789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2014-01-28
Last Update Date2024-03-29
Business Address
GLENN WILSON IDMT
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330-8273
Phone number: 707-424-5107
Mailing Address
GLENN WILSON IDMT
228 SEABURY ST
SUISUN CITY, CA 94585-4107
Phone number:
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