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1144847518
DESTANIE ALISSA WILSON
MAXTON, NC
NPI
1144847518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 15974)
Enumeration Date
2020-07-01
Last Update Date
2024-01-11
Business Address
DESTANIE ALISSA WILSON
425 S AUSTIN ST
MAXTON, NC 28364-2138
Phone number: 910-542-1878
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Mailing Address
DESTANIE ALISSA WILSON
25380 STONY MOUNTAIN RD
ALBEMARLE, NC 28001-8684
Phone number: 850-867-4608
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