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Latecia Wilson

NPI 1720809932 · on the registry since 2024

Practice

Address
216 E Kerr Dr
Midwest City, OK 73110
Phone
(405) 818-8583
Fax
(405) 407-2200

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma