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1730857558
FREDDIE WILSON
OWASSO, OK
NPI
1730857558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-06
Last Update Date
2021-09-06
Business Address
FREDDIE WILSON
18495 E CROOKED OAK DR
OWASSO, OK 74055-5054
Phone number: 918-633-7082
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Mailing Address
FREDDIE WILSON
18495 E CROOKED OAK DR
OWASSO, OK 74055-5054
Phone number: 918-633-7082
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