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1205197878
JONATHAN B WILSON
GRAND ISLAND, NE
NPI
1205197878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: NE 334)
Enumeration Date
2012-05-31
Last Update Date
2012-07-18
Business Address
Dr. JONATHAN B WILSON DPM
620 N DIERS AVE STE 100
GRAND ISLAND, NE 68803-4985
Phone number: 308-381-0404
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Mailing Address
Dr. JONATHAN B WILSON DPM
PO BOX 5020
GRAND ISLAND, NE 68802-5020
Phone number: 308-381-0404
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