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1699401018
B. GALE WILSON MTU
FAIRFIELD, CA
NPI
1699401018
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Entity Type
Organization
Authorized Contact
SHEKA JONES-ESPY
Phn Manager
707-784-8653
Organization Subpart ?
No
Primary Taxonomy
261QR0400X Clinic/Center Rehabilitation
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
B. GALE WILSON MTU
3305 CHERRY HILLS CT
FAIRFIELD, CA 94534-7870
Phone number: 707-784-8650
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Mailing Address
B. GALE WILSON MTU
275 BECK AVE # MS 5-175
FAIRFIELD, CA 94533-6804
Phone number:
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