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1871281089
OMAR WILSON
LYNDHURST, NJ
NPI
1871281089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00280300)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
OMAR WILSON
70 RIDGE RD
LYNDHURST, NJ 07071-1216
Phone number: 201-992-0183
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Mailing Address
OMAR WILSON
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5800
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