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Contact Information

STACEY WILSON
100 AIRPORT RD #366
MOUNTAIN VILLAGE, AK99632
 Phone: 907-591-6295
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for STACEY WILSON · (Female)

NPI Number 1477832558
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2011
Last updated 08/08/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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