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1477078111
JENNIFER LYNN WILSON
JOHNSON CITY, TN
NPI
1477078111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 3264)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
JENNIFER LYNN WILSON OTR/L
401 E MAIN ST STE 4
JOHNSON CITY, TN 37601-4891
Phone number: 423-722-2062
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Mailing Address
JENNIFER LYNN WILSON OTR/L
1975 W ELK AVE STE 1
ELIZABETHTON, TN 37643-3787
Phone number: 423-543-0073
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