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1992123285
MARK WILSON
SAN DIEGO, CA
NPI
1992123285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 14125)
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
Mr. MARK WILSON MOT OTR/L
2820 ROOSEVELT ROAD STE 105
SAN DIEGO, CA 92106
Phone number: 619-607-4288
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Mailing Address
Mr. MARK WILSON MOT OTR/L
745 EL RANCHO DRIVE
EL CAJON, CA 92019
Phone number: 619-607-4288
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