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1245548239
SHANE WILSON
SPARKS, NV
NPI
1245548239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-09-23
Last Update Date
2010-09-23
Business Address
-- SHANE WILSON
741 RANCHO VIA DR
SPARKS, NV 89434-4051
Phone number: 775-223-9040
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Mailing Address
-- SHANE WILSON
741 RANCHO VIA DR
SPARKS, NV 89434-4051
Phone number:
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