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1750914768
JAMES ROBERT WILSON
DURANT, OK
NPI
1750914768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
Mr. JAMES ROBERT WILSON B.S
1312 N 1ST AVE
DURANT, OK 74701-2810
Phone number: 580-920-2069
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Mailing Address
Mr. JAMES ROBERT WILSON B.S
1312 N 1ST AVE
DURANT, OK 74701-2810
Phone number: 903-820-9475
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