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1225557358
NATHAN PAUL WILSON
LOS ANGELES, CA
NPI
1225557358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-09
Last Update Date
2017-09-09
Business Address
Mr. NATHAN PAUL WILSON
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
Mr. NATHAN PAUL WILSON
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-7272
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