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1366695926
LESLY WILSON JAMES
IRMO, SC
NPI
1366695926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: SC 1427)
Enumeration Date
2008-10-28
Last Update Date
2015-09-18
Business Address
DR. LESLY WILSON JAMES PHD, OTR/L
135 GARDEN BROOKE
IRMO, SC 29063
Phone number: 803-608-2044
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Mailing Address
DR. LESLY WILSON JAMES PHD, OTR/L
135 GARDEN BROOKE
IRMO, SC 29063
Phone number: 803-608-2044
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