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1104995604
JAY DAVID WILSON
FARGO, ND
NPI
1104995604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ND 938)
Enumeration Date
2006-11-07
Last Update Date
2007-08-07
Business Address
Mr. JAY DAVID WILSON DPT
3101 BROADWAY N SUITE C
FARGO, ND 58102-1485
Phone number: 701-271-1000
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Mailing Address
Mr. JAY DAVID WILSON DPT
827 32ND AVE N #108
FARGO, ND 58102-1087
Phone number: 701-271-1000
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