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1790959971
JONATHAN JAMES WILSON
SPOKANE, WA
NPI
1790959971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP60246623)
Enumeration Date
2008-04-17
Last Update Date
2024-07-23
Business Address
JONATHAN JAMES WILSON DO
9911 N NEVADA ST STE 200
SPOKANE, WA 99218-1298
Phone number: 509-626-9420
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Mailing Address
JONATHAN JAMES WILSON DO
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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