Tyra Lee Wilson
Tyra Lee Wilson is a Case Management Agency in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
109 S Harrill AveWagoner, OK 74467-5317
Phone: (918) 485-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
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Record details
| NPI number | 1336868710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2022 |
| Last updated in NPPES | August 26, 2022 |
| Certification date | August 23, 2022 |
| Mailing address | 4311 Orchard Pkwy, Muskogee, OK 74403-8549 |