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1073910758
MICHAEL WILSON
PHOENIX, AZ
NPI
1073910758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-25
Last Update Date
2014-11-25
Business Address
MICHAEL WILSON
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2634
Phone number: 602-808-2800
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Mailing Address
MICHAEL WILSON
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-599-5404
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