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Jacob Charles Wilson
Student in an Organized Health Care Education/Training Program in West Liberty, West Virginia
NPI 1992562292

Jacob Charles Wilson is a Student in an Organized Health Care Education/Training Program based in Bridgeport, WV. Jacob Charles Wilson practices in West Liberty, WV. The NPI Number for Jacob Charles Wilson is 1992562292 and holds a License No. (West Virginia).

The current practice location address for Jacob Charles Wilson is 208 University Dr, West Liberty, WV and can be reached out via phone at 304-336-5294. You can also correspond with Jacob Charles Wilson through the mailing address at 3042 SALTWELL RD, BRIDGEPORT, WV - 26330-7112 (mailing address contact number: ).

Location: 208 University Dr, West Liberty, WV, 26330-7112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992562292
Provider Name
Jacob Charles Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
208 University Dr, West Liberty, WV, 26330-7112
Phone Number
304-336-5294
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
208 University Dr
City
West Liberty
State
West Virginia
Zip
26074-1082
Phone Number
304-336-5294
Fax Number
person
Provider Business Mailing Address Details
Address
208 University Dr
City
West Liberty
State
West Virginia
Zip
26074-1082
Phone Number
304-336-5294
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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