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1861651663
JASON ANDREW WILSON
DYER, IN
NPI
1861651663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198.000780)
Enumeration Date
2008-06-05
Last Update Date
2021-11-18
Business Address
JASON ANDREW WILSON L.Ac. M.S.O.M.
14785 W 101ST AVE # 101
DYER, IN 46311-3371
Phone number: 219-689-5563
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Mailing Address
JASON ANDREW WILSON L.Ac. M.S.O.M.
14785 W 101ST AVE # 101
DYER, IN 46311-3371
Phone number: 219-689-5563
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