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1528362662
LAWRENCE WILSON
PRESCOTT, AZ
NPI
1528362662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
Enumeration Date
2011-01-04
Last Update Date
2011-01-04
Business Address
-- LAWRENCE WILSON
4950 S INDIAN CREEK RD
PRESCOTT, AZ 86303-6180
Phone number: 928-445-7690
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Mailing Address
-- LAWRENCE WILSON
PO BOX 54
PRESCOTT, AZ 86302-0054
Phone number:
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