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1912288051
MARK A WILSON
PHILADELPHIA, PA
NPI
1912288051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2011-09-02
Last Update Date
2011-09-02
Business Address
-- MARK A WILSON BS
3901 MARKET ST
PHILADELPHIA, PA 19104-3133
Phone number: 215-243-2816
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Mailing Address
-- MARK A WILSON BS
1216 ARCH ST FL 6
PHILADELPHIA, PA 19107-2835
Phone number: 215-981-0088
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