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1023668019
JONATHAN WILSON
JACKSON, TN
NPI
1023668019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1999)
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
JONATHAN WILSON MAEd, ATC, LAT, CSCS
1050 UNION UNIVERSITY DR # 1811
JACKSON, TN 38305-3656
Phone number: 731-661-5307
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Mailing Address
JONATHAN WILSON MAEd, ATC, LAT, CSCS
1050 UNION UNIVERSITY DR # 1811
JACKSON, TN 38305-3656
Phone number: 731-661-5307
Copy
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