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1992074876
CLARENCE ELWOOD WILSON
CHINO, CA
NPI
1992074876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA Psy 15219)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
Dr. CLARENCE ELWOOD WILSON Ph.D.
14901 CENTRAL AVE
CHINO, CA 91710-9500
Phone number: 909-597-1821
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Mailing Address
Dr. CLARENCE ELWOOD WILSON Ph.D.
8816 FOOTHILL BLVD STE 103
RANCHO CUCAMONGA, CA 91730-7199
Phone number: 909-597-1821
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