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1538923305
SAMUEL WILSON
COLORADO SPRINGS, CO
NPI
1538923305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0015471)
Enumeration Date
2024-02-12
Last Update Date
2024-02-13
Business Address
SAMUEL WILSON
2955 PROFESSIONAL PL STE 200
COLORADO SPRINGS, CO 80904-8140
Phone number: 719-227-7079
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Mailing Address
SAMUEL WILSON
2955 PROFESSIONAL PL STE 200
COLORADO SPRINGS, CO 80904-8140
Phone number: 719-227-7079
Copy
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