CASEY WILSON

JOINT BASE LEWIS MCCHORD, WA
NPI1811471444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: CA  2000039706)
Enumeration Date2018-09-19
Last Update Date2022-11-02
Business Address
CASEY WILSON ATC
9040A JACKSON AVE UNIT A202
JOINT BASE LEWIS MCCHORD, WA 98431-1235
Phone number: 253-988-4550
Mailing Address
CASEY WILSON ATC
203 S MADISON AVE APT 8
MONROVIA, CA 91016-1005
Phone number: 253-988-4550
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