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1295124055
KATHERINE WILSON
MODESTO, CA
NPI
1295124055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-01-16
Last Update Date
2015-01-16
Business Address
-- KATHERINE WILSON ATC
4318 SPYRES WAY
MODESTO, CA 95356-9259
Phone number: 209-576-0710
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Mailing Address
-- KATHERINE WILSON ATC
310 HACKBERRY AVE
MODESTO, CA 95354-0508
Phone number:
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