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1780019067
MARY C WILSON
COLORADO SPRINGS, CO
NPI
1780019067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 12728)
Enumeration Date
2013-09-05
Last Update Date
2013-09-05
Business Address
-- MARY C WILSON PTA
8540 SCARBOROUGH DR STE 200
COLORADO SPRINGS, CO 80920-7513
Phone number: 719-630-7500
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Mailing Address
-- MARY C WILSON PTA
29315 WILKERSON VW
CALHAN, CO 80808-9055
Phone number:
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