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Williard Five Wilson, C.P.

Prosthetist in Bakersfield, CA. Individual provider (NPI-1).

NPI number1760620488
StatusActive
Last updated in NPPESFeb 3, 2009

Details

NPI
1760620488
Entity type
Individual (NPI-1)
Name
Williard Five Wilson
Credential
C.P.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2009
Last updated
Feb 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X Prosthetist––Yes

Practice location

1524 21st Street
Suite B
Bakersfield, CA 93301-4002

Phone 661-322-1005 · Fax 661-322-0528

Mailing address

1524 21st Street
Suite B
Bakersfield, CA 93301-4002

Phone 661-322-1005 · Fax 661-322-0528

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