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1053531939
JIMMIE JOE WILSON
JOPLIN, MO
NPI
1053531939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 110637)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Mr. JIMMIE JOE WILSON PT
2727 MC CLELLAND BLVD
JOPLIN, MO 64804-1626
Phone number: 417-625-2190
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Mailing Address
Mr. JIMMIE JOE WILSON PT
25465 LEFFEN LN
JOPLIN, MO 64801-6366
Phone number: 417-623-6384
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