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1114107737
JOSEPH DANIEL WILSON
MILLEDGEVILLE, GA
NPI
1114107737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001459)
Enumeration Date
2007-11-12
Last Update Date
2007-11-12
Business Address
Mr. JOSEPH DANIEL WILSON ATC; LAT
320 N WAYNE ST
MILLEDGEVILLE, GA 31061-2857
Phone number: 478-445-1787
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Mailing Address
Mr. JOSEPH DANIEL WILSON ATC; LAT
320 N WAYNE ST
MILLEDGEVILLE, GA 31061-2857
Phone number: 478-445-1787
Copy
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