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1740633304
JAMES WILSON
RIVERDALE, UT
NPI
1740633304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- JAMES WILSON
5202 FREEWAY PARK DR
RIVERDALE, UT 84405-4016
Phone number: 801-255-5131
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Mailing Address
-- JAMES WILSON
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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