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1558935742
BOBBY DEAN WILSON
LOS ANGELES, CA
NPI
1558935742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
BOBBY DEAN WILSON
729 W MANCHESTER AVE
LOS ANGELES, CA 90044-5720
Phone number: 323-814-9100
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Mailing Address
BOBBY DEAN WILSON
PO BOX 72001
LOS ANGELES, CA 90002-0001
Phone number: 760-558-9902
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