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1023261666
JACQUI R WILSON
LYNCHBURG, VA
NPI
1023261666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001329)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- JACQUI R WILSON LPTA
1912 MEMORIAL AVE
LYNCHBURG, VA 24501-1708
Phone number: 434-845-8765
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Mailing Address
-- JACQUI R WILSON LPTA
1912 MEMORIAL AVE
LYNCHBURG, VA 24501-1708
Phone number: 434-845-8765
Copy
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