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1144731357
JUSTIN WILDER
AUSTIN, TX
NPI
1144731357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: TX 930303)
Enumeration Date
2017-10-14
Last Update Date
2017-10-14
Business Address
Mr. JUSTIN WILDER RN
201 LAVACA ST
AUSTIN, TX 78701-3960
Phone number: 754-234-0938
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Mailing Address
Mr. JUSTIN WILDER RN
201 LAVACA ST
AUSTIN, TX 78701-3960
Phone number:
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