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1396148623
FRED WILSON
JACKSONVILLE, FL
NPI
1396148623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
Mr. FRED WILSON
945 N LIBERTY ST APT B219
JACKSONVILLE, FL 32206-5676
Phone number: 904-238-1240
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Mailing Address
Mr. FRED WILSON
945 N LIBERTY ST APT B219
JACKSONVILLE, FL 32206-5676
Phone number: 904-238-1240
Copy
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