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1669929964
NICHOLAS HENRY WILHELM
FORT DEFIANCE, AZ
NPI
1669929964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT025278)
Enumeration Date
2016-09-02
Last Update Date
2016-11-03
Business Address
Mr. NICHOLAS HENRY WILHELM DPT
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504-0589
Phone number: 570-617-1722
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Mailing Address
Mr. NICHOLAS HENRY WILHELM DPT
PO BOX 589 FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.
FORT DEFIANCE, AZ 86504-0589
Phone number: 570-617-1722
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