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1154429348
DONALD LESTER WILSON
FORT WAYNE, IN
NPI
1154429348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: IN 20041034A)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. DONALD LESTER WILSON PhD
2121 LAKE AVE VA NIHCS
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
Dr. DONALD LESTER WILSON PhD
726 WEST SUPERIOR STREET
FORT WAYNE, IN 46802-1017
Phone number: 260-615-1173
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