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1194442806
EDWARD ALEXANDER WILSON
MUSKOGEE, OK
NPI
1194442806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
EDWARD ALEXANDER WILSON CNA
6365 W OKMULGEE ST
MUSKOGEE, OK 74401-4595
Phone number: 918-687-1039
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Mailing Address
EDWARD ALEXANDER WILSON CNA
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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