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1891401949
JEROME LAMON WILSON
PASADENA, CA
NPI
1891401949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-23
Last Update Date
2023-09-29
Business Address
JEROME LAMON WILSON
2750 E WASHINGTON BLVD
PASADENA, CA 91107-1448
Phone number: 626-296-8900
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Mailing Address
JEROME LAMON WILSON
406 W BROADWAY
SAN GABRIEL, CA 91776-1207
Phone number: 626-421-1030
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