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SHEENA WILSON

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1164966321

Individual Registrant:
 SHEENA  WILSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
581 S SANTA FE TRL  CORNVILLE, AZ 86325-5153 US
Tel: 559-375-9719  Fax: --

Contact information for business:
581 S SANTA FE TRL  CORNVILLE, AZ 86325-5153 US
Tel: --  Fax: --

Registration Information:
NPI: 1164966321
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
AZ2000025652

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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