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1124275680
CHARLES WILDER
TEMPE, AZ
NPI
1124275680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: AZ 4057981)
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
-- CHARLES WILDER
3205 S RURAL RD
TEMPE, AZ 85282-3853
Phone number: 480-897-6063
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Mailing Address
-- CHARLES WILDER
3205 S RURAL RD
TEMPE, AZ 85282-3853
Phone number:
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