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Individual
MR. ROBERT LYNN WILSON
Active
Individual
MR. ROBERT LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11877
LICENSE NUMBER
TX
Enumeration date
04/24/2008
Last updated
04/24/2008
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