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1932610045
JOSEPH R WILSON
MONROE, LA
NPI
1932610045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-16
Last Update Date
2019-07-15
Business Address
JOSEPH R WILSON
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-0945
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Mailing Address
JOSEPH R WILSON
2604 LEXINGTON AVE
MONROE, LA 71201-2645
Phone number: 615-482-9209
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