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1902304439
CANDICE NEWTON WILSON
MACON, GA
NPI
1902304439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: GA PT007137)
Enumeration Date
2018-01-30
Last Update Date
2019-06-11
Business Address
CANDICE NEWTON WILSON PT
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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Mailing Address
CANDICE NEWTON WILSON PT
PO BOX 6317
MACON, GA 31208-6317
Phone number:
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