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1245806199
JOSEPH CHARLES WILSON
BLAINE, MN
NPI
1245806199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 12183)
Enumeration Date
2021-06-01
Last Update Date
2021-06-22
Business Address
JOSEPH CHARLES WILSON DPT
1630 101ST AVE NE STE 160
BLAINE, MN 55449-3403
Phone number: 952-522-8007
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Mailing Address
JOSEPH CHARLES WILSON DPT
6700 FRANCE AVE S STE 300
EDINA, MN 55435-1908
Phone number: 952-913-2907
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