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1851280614
KARISA LEE WILSON
MAXWELL AFB, AL
NPI
1851280614
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Former Name
KARISA LEE WESTOVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NC 13311)
Enumeration Date
2025-06-28
Last Update Date
2025-06-28
Business Address
KARISA LEE WILSON RDH BS
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112-6027
Phone number: 334-953-5200
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Mailing Address
KARISA LEE WILSON RDH BS
300 TWINING ST BLDG 760
MAXWELL AFB, AL 36112-6027
Phone number: 334-953-5200
Copy
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