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1043776685
DWIGHT E WILSON
CHICAGO, IL
NPI
1043776685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 1600006445)
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
DWIGHT E WILSON
10737 S MORGAN ST
CHICAGO, IL 60643-3821
Phone number: 773-447-8545
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Mailing Address
DWIGHT E WILSON
10737 S MORGAN ST
CHICAGO, IL 60643-3821
Phone number: 773-447-8545
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