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1720116791
WAYNE DOUGLAS WILSON
STATESVILLE, NC
NPI
1720116791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 3158)
Enumeration Date
2007-03-01
Last Update Date
2007-09-10
Business Address
-- WAYNE DOUGLAS WILSON D.MIN.
351 TURNERSBURG HWY
STATESVILLE, NC 28625-2798
Phone number: 704-871-1712
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Mailing Address
-- WAYNE DOUGLAS WILSON D.MIN.
PO BOX 184
STATESVILLE, NC 28687-0184
Phone number: 704-871-1712
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