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1285980714
ROBERT WILSON
DANVILLE, IL
NPI
1285980714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160001215)
Enumeration Date
2012-08-02
Last Update Date
2012-08-02
Business Address
-- ROBERT WILSON
801 N LOGAN AVE
DANVILLE, IL 61832-3715
Phone number: 217-443-3106
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Mailing Address
-- ROBERT WILSON
801 N LOGAN AVE
DANVILLE, IL 61832-3715
Phone number:
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