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1316241326
DIANE R WILSON
AUGUSTA, GA
NPI
1316241326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 002911)
Enumeration Date
2011-01-05
Last Update Date
2011-07-18
Business Address
Ms. DIANE R WILSON PT
2103 REEDALE AVE
AUGUSTA, GA 30906-3430
Phone number: 706-814-6887
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Mailing Address
Ms. DIANE R WILSON PT
2103 REEDALE AVE
AUGUSTA, GA 30906-3430
Phone number: 706-814-6887
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