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1790407559
ADAM WILSON
SANTA MONICA, CA
NPI
1790407559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 302753)
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
ADAM WILSON DPT
1505 11TH ST
SANTA MONICA, CA 90401-2903
Phone number: 424-322-8585
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Mailing Address
ADAM WILSON DPT
612 E NEWMARK AVE APT B
MONTEREY PARK, CA 91755-3178
Phone number: 206-484-5145
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