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1649024415
ALEX ALLEN WILSON
NAMPA, ID
NPI
1649024415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
Mr. ALEX ALLEN WILSON
5720 3RD AVE
NAMPA, ID 83686-9578
Phone number: 986-888-0566
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Mailing Address
Mr. ALEX ALLEN WILSON
5720 3RD AVE
NAMPA, ID 83686-9578
Phone number: 986-888-0566
Copy
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