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1184839896
THADDEUS EARL WILSON
LOMA LINDA, CA
NPI
1184839896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
(Licence: CA A102261)
Enumeration Date
2007-05-14
Last Update Date
2014-08-15
Business Address
Dr. THADDEUS EARL WILSON M.D.
11406 LOMA LINDA DR PHYSICAL MEDICINE AND REHABILITATION
LOMA LINDA, CA 92354-3711
Phone number: 909-558-6275
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Mailing Address
Dr. THADDEUS EARL WILSON M.D.
11406 LOMA LINDA DRIVE PHYSICAL MEDICINE AND REHABILITATION
LOMA LINDA, CA 92354
Phone number: 909-558-6275
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