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1871164145
JOHN WILSON
MARTINEZ, GA
NPI
1871164145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN122429)
Enumeration Date
2021-07-07
Last Update Date
2023-04-05
Business Address
JOHN WILSON
4059 COLUMBIA RD
MARTINEZ, GA 30907-2221
Phone number: 706-863-9445
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Mailing Address
JOHN WILSON
442 AUMOND RD
AUGUSTA, GA 30909-3561
Phone number:
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