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1649479916
JONATHAN EDWARD WILSON
NORTH KANSAS CITY, MO
NPI
1649479916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MO 2008006047)
Enumeration Date
2007-07-16
Last Update Date
2014-01-27
Business Address
Dr. JONATHAN EDWARD WILSON D.O.
2750 CLAY EDWARDS DR STE 304
NORTH KANSAS CITY, MO 64116-3256
Phone number: 816-842-5555
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Mailing Address
Dr. JONATHAN EDWARD WILSON D.O.
112 NW HACKBERRY ST
LEES SUMMIT, MO 64064-1476
Phone number:
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