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1841417706
J. BRAD WILSON
JASPER, IN
NPI
1841417706
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Former Name
JAMES BRAD WILSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 8244)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Dr. J. BRAD WILSON dds
288 NORTHWOOD AVE
JASPER, IN 47546-1212
Phone number: 812-482-1855
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Mailing Address
Dr. J. BRAD WILSON dds
288 NORTHWOOD AVE
JASPER, IN 47546-1212
Phone number: 812-482-1855
Copy
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