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1306148812
LA TESIA WILSON
ARCADIA, CA
NPI
1306148812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-12-03
Last Update Date
2011-04-08
Business Address
-- LA TESIA WILSON
12310 LOWER AZUSA RD
ARCADIA, CA 91006-5872
Phone number: 626-579-8593
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Mailing Address
-- LA TESIA WILSON
12310 LOWER AZUSA RD
ARCADIA, CA 91006-5872
Phone number: 626-579-8593
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