JALEN WILSON

CANTON, MO
NPI1811602808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
JALEN WILSON
1 COLLEGE HL
CANTON, MO 63435-1257
Phone number: 816-344-1325
Mailing Address
JALEN WILSON
1261 MAINE ST APT 6
QUINCY, IL 62301-4242
Phone number: 816-344-1325
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