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1346554185
MARK L WILSON
EAU CLAIRE, WI
NPI
1346554185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 8136)
Enumeration Date
2010-08-04
Last Update Date
2018-01-05
Business Address
MARK L WILSON PT
1262 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6125
Phone number: 715-858-4610
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Mailing Address
MARK L WILSON PT
1460 CURVE CREST BLVD W
STILLWATER, MN 55082-6070
Phone number: 651-439-8283
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