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1316245764
ANTHONY BRADFORD WILSON
GLENDALE, AZ
NPI
1316245764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
-- ANTHONY BRADFORD WILSON
7219 N LITCHFIELD RD
GLENDALE, AZ 85309-1529
Phone number: 623-856-2793
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Mailing Address
-- ANTHONY BRADFORD WILSON
16654 N 178TH AVE
SURPRISE, AZ 85388-1798
Phone number: 623-221-1089
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