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1023855798
CHAD EVERETT WILSON
SANTA ANA, CA
NPI
1023855798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 685661)
Enumeration Date
2024-07-10
Last Update Date
2024-10-07
Business Address
CHAD EVERETT WILSON
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-928-7747
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Mailing Address
CHAD EVERETT WILSON
4000 W METROPOLITAN DR STE 401
ORANGE, CA 92868-3506
Phone number: 714-935-6117
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