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1518023696
MARCUS BRANT WILSON
RUSSELLVILLE, AL
NPI
1518023696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH3093)
Enumeration Date
2006-12-31
Last Update Date
2007-07-08
Business Address
-- MARCUS BRANT WILSON
12200 HIGHWAY 43
RUSSELLVILLE, AL 35653-4737
Phone number: 866-537-5614
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Mailing Address
-- MARCUS BRANT WILSON
240 ROBERTS DR
FLORENCE, AL 35634-2634
Phone number:
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