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1548590839
SANTANA M WILSON
BRUNSWICK, ME
NPI
1548590839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT363)
Enumeration Date
2010-01-08
Last Update Date
2010-01-08
Business Address
Miss SANTANA M WILSON LATC
275 BATH RD
BRUNSWICK, ME 04011-2671
Phone number: 207-729-4998
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Mailing Address
Miss SANTANA M WILSON LATC
26A GARDEN ST
BATH, ME 04530-2620
Phone number: 207-381-7941
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