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1629399522
CHARLES BRENT WILSON
SAINT FRANCISVILLE, LA
NPI
1629399522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6033)
Enumeration Date
2010-06-15
Last Update Date
2013-07-29
Business Address
Dr. CHARLES BRENT WILSON D.D.S.
7689 US HWY 61
SAINT FRANCISVILLE, LA 70775-0820
Phone number: 225-635-6554
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Mailing Address
Dr. CHARLES BRENT WILSON D.D.S.
PO BOX 474 7689 US HWY 61
SAINT FRANCISVILLE, LA 70775-0474
Phone number: 225-635-6554
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