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1922081306
PATRICK CHARLES WILSON
OMAHA, NE
NPI
1922081306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 1268)
Enumeration Date
2005-11-21
Last Update Date
2014-01-02
Business Address
-- PATRICK CHARLES WILSON MPT
16120 W DODGE RD
OMAHA, NE 68118-2049
Phone number: 402-354-0410
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Mailing Address
-- PATRICK CHARLES WILSON MPT
PO BOX 3755
OMAHA, NE 68103-0755
Phone number: 402-354-2100
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