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1235151598
DAVID JOHN WILSON
GULFPORT, MS
NPI
1235151598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS 453)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
MR. DAVID JOHN WILSON MS,LPC
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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Mailing Address
MR. DAVID JOHN WILSON MS,LPC
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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