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1023128550
PAUL WILSON
DAKOTA DUNES, SD
NPI
1023128550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00254)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- PAUL WILSON Athletic Trainer
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049-5312
Phone number: 605-217-2667
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Mailing Address
-- PAUL WILSON Athletic Trainer
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049-5312
Phone number: 605-217-2667
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