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1134617418
MICHAEL O WILSON
LA PLACE, LA
NPI
1134617418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
MICHAEL O WILSON
429 W AIRLINE HWY STE V
LA PLACE, LA 70068-3817
Phone number: 985-618-3403
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Mailing Address
MICHAEL O WILSON
429 W AIRLINE HWY STE V
LA PLACE, LA 70068-3817
Phone number: 985-618-3403
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