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1174674659
DANIEL EUGENE WILSON
JERSEY CITY, NJ
NPI
1174674659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00408400)
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
Mr. DANIEL EUGENE WILSON SLP
75 LIBERTY AVE #A20
JERSEY CITY, NJ 07306-5029
Phone number: 201-963-3331
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Mailing Address
Mr. DANIEL EUGENE WILSON SLP
75 LIBERTY AVE #A20
JERSEY CITY, NJ 07306-5029
Phone number: 201-963-3331
Copy
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