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1578205431
TJ LAMAR WILSON
DETROIT, MI
NPI
1578205431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
Dr. TJ LAMAR WILSON MD
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201-2153
Phone number: 313-745-7888
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Mailing Address
Dr. TJ LAMAR WILSON MD
841 LINCOLN ST
JACKSON, MI 49202-3248
Phone number: 734-210-4353
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