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1386094290
CHARLES PRUITT WILKINSON
LINCOLN, NE
NPI
1386094290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE H13346275)
Enumeration Date
2016-06-21
Last Update Date
2018-05-29
Business Address
Mr. CHARLES PRUITT WILKINSON
2300 S 13TH ST
LINCOLN, NE 68502
Phone number: 308-539-3282
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Mailing Address
Mr. CHARLES PRUITT WILKINSON
5115 F ST
OMAHA, NE 68117-2807
Phone number: 308-539-3282
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