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1649250036
JASON TODD WILSON
BIRMINGHAM, AL
NPI
1649250036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1087215)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
Mr. JASON TODD WILSON CRNA
701 PRINCETON AVENUE SW
BIRMINGHAM, AL 35211
Phone number: 205-783-3144
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Mailing Address
Mr. JASON TODD WILSON CRNA
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number: 334-386-2051
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