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1669506028
BRIAN M WILSON
LEWISTON, ME
NPI
1669506028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ME OT1031)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mr. BRIAN M WILSON OTR
33 ROGER ST
LEWISTON, ME 04240-3328
Phone number: 207-784-0108
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Mailing Address
Mr. BRIAN M WILSON OTR
18 MOREAU AVE
LEWISTON, ME 04240-4032
Phone number: 207-784-8091
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